The nurse reviews the client's test results

Exhibits

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Contact precautions

Ethambutol

Monthly TB skin test for 1 year

Isoniazid

Airborne precautions

Pyrazinamide

Rifampin

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}

A.   Since the sputum culture is positive for M. tuberculosis, contact precautions are necessary to prevent the spread of the infection to others. These precautions include wearing gloves and a gown when in contact with the client or their environment.
B.   Ethambutol is one of the first-line medications used in the treatment of tuberculosis (TB). It works by inhibiting the growth of TB bacteria, thereby helping to eliminate the infection.
C.   A monthly TB skin test is not a standard part of treatment for a patient with active TB and is therefore contraindicated.
D.   Isoniazid is another first-line medication used in the treatment of TB. It works by killing the TB bacteria and is often used in combination with other medications to treat active TB infection.
E.   Since the sputum culture is positive for M. tuberculosis, airborne precautions are necessary to prevent the transmission of TB via airborne droplets. These precautions include wearing an N95 respirator mask and placing the client in a negative-pressure isolation room.
F.   Pyrazinamide is part of the standard multidrug regimen used to treat TB. It works by killing the TB bacteria in different stages of their life cycle, helping to eradicate the infection more effectively.
G.   Rifampin is another essential medication used in the treatment of TB. It works by inhibiting the synthesis of bacterial RNA, thereby killing the TB bacteria. Rifampin is usually given in combination with other TB medications to prevent drug resistance.

Nursing Test Bank

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Correct Answer is D

Explanation

A. While completing an incident report is important for addressing the medication error and implementing corrective actions, the immediate priority is to assess the client's condition for signs of bleeding, which could be life-threatening.
B. Monitoring aPTT levels is important to assess the client's response to heparin therapy, but it does not address the immediate risk of bleeding from the overdose.
C. Notifying the risk manager is essential for reporting the medication error and implementing strategies to prevent future occurrences, but the nurse's first action should be to assess the client's condition for any indications of bleeding.
D. Administering a high dose of heparin increases the risk of bleeding, so the nurse should first assess the client for any signs or symptoms of bleeding, such as unexplained bruising, hematuria, or hypotension, to ensure timely intervention and prevent complication.

A. Monitor the client's vital signs every 12 hr. B. Inspect the client's mouth every 8 hr. C. Provide fresh fruit with the client's meals. D. Rotate health care staff caring for the client.

Correct Answer is B

Explanation

A. Monitoring vital signs every 12 hours is a standard nursing intervention but may not specifically address the needs of a client with immunosuppression.
B. Inspecting the client's mouth every 8 hours can help in early detection of mouth sores or infections, which are common in immunosuppressed individuals.
C. Providing fresh fruit with meals may not be appropriate for a client with immunosuppression, as fresh fruits can harbor pathogens that pose a risk of infection.
D. Rotating healthcare staff caring for the client helps increases the risk of introducing pathogens to the client. This increases the risk of infection in the immunosuppressed client.

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The nurse reviews the client's test results Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who received 50,000 units of IV heparin rather than the prescribed 5,000 units. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is creating a plan of care for a client who has cancer and is experiencing Immunosuppression. Which of the following Interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

The nurse reviews the client's test results Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

A nurse is planning to administer vancomycin IV to a client. Which of the following actions should the nurse take to reduce the risk of an adverse reaction to the vancomycin?

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A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?

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The nurse reviews the client's test results

Exhibits

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.