When developing the plan of care for a client receiving antitubercular therapy, the nurse would identify which of the following as a goal? Alert to the development of which of the following?

Client will state adverse reactions to report.

Client will maintain adequate nutritional status.

Client and family demonstrate an understanding of the drug regimen.

Client manages the therapeutic regimen effectively.

Client exhibits a negative sputum culture.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The goal of having the client state adverse reactions to report is important, but it is not the primary goal of antitubercular therapy. The main objective is to ensure that the client and their family understand the drug regimen to promote adherence and successful treatment. This is crucial in preventing drug-resistant tuberculosis and achieving the desired outcome.

Choice B rationale:

Maintaining adequate nutritional status is essential for overall health, but it is not the primary goal of antitubercular therapy. While good nutrition can support the immune system, the central goal should be related to medication adherence and preventing the spread of tuberculosis.

Choice D rationale:

Client managing the therapeutic regimen effectively is an important aspect of tuberculosis treatment, but this choice lacks the emphasis on educating the client and their family about the drug regimen, which is a fundamental component of successful therapy.

Choice E rationale:

The negative sputum culture is an indicator of treatment success, but it's more of an outcome measure than a goal for the client. The primary goal should focus on education and adherence to the drug regimen.

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Correct Answer is C

Explanation

Choice A rationale:

The initial phase of treatment in tuberculosis management involves the first few weeks of intensive drug therapy when the goal is to reduce the bacterial load and prevent drug resistance. During this phase, the client typically takes multiple medications, but there is no requirement for direct observation by a healthcare provider.

Choice B rationale:

The continuation phase of treatment occurs after the initial phase in tuberculosis management. It focuses on preventing relapse and the complete eradication of the bacteria. During this phase, the client takes fewer medications, but there is no direct observation of medication administration.

Choice C rationale:

Directly observed therapy (DOT) is a strategy used in tuberculosis treatment where a healthcare provider or trained observer directly watches the client take their medications. This is particularly important to ensure adherence and prevent drug resistance. The description in the question aligns with the practice of DOT.

Choice D rationale:

Adherence evaluation refers to assessing how well a client follows their treatment plan, but it doesn't necessarily involve observing medication administration. While adherence evaluation is essential, the scenario described in the question specifically mentions the client demonstrating medication intake in front of a nurse, which corresponds to DOT.

A. Urinalysis. B. Culture tests. C. Ulcer tests. D. Stool tests.

Correct Answer is B

Explanation

Choice A rationale:

Urinalysis is not typically required before administering ciprofloxacin unless there is a specific indication. Ciprofloxacin is often prescribed for urinary tract infections, but routine urinalysis may not be necessary in all cases. Culture tests are more appropriate to determine the causative microorganism and its susceptibility to ciprofloxacin.

Choice B rationale:

Culture tests are essential before administering ciprofloxacin. These tests help identify the specific pathogen causing the infection and determine its sensitivity to the antibiotic. This information is crucial for selecting the most effective treatment and preventing the development of antibiotic resistance.

Choice C rationale:

There is no standard "ulcer test" that needs to be completed before administering ciprofloxacin. The choice of administering ciprofloxacin would depend on the clinical presentation, patient history, and the suspected infection. Culture tests are more relevant for identifying the infection's source.

Choice D rationale:

Stool tests are not typically required before administering ciprofloxacin unless there is a specific indication, such as suspected gastrointestinal infections. Again, the necessity for such tests would depend on the clinical presentation and the healthcare provider's assessment. Culture tests are essential for identifying the causative microorganism in most cases.

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When developing the plan of care for a client receiving antitubercular therapy, the nurse would identify which of the following as a goal? Alert to the development of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing instructor is describing a situation in which a client with tuberculosis periodically visits his primary health care provider and demonstrates taking his medication in front of the nurse.The instructor is describing which of the following?

Correct Answer is C

Explanation

A nurse is preparing to administer ciprofloxacin as ordered.Which test would the nurse ensure is completed before administering the first dose to the patient?

Correct Answer is B

Explanation

A client is prescribed an antidiarrheal drug.The nurse reviews the client's medical record for possible contraindications for use.Which of the following would alert the nurse to a possible contraindication?

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Which of the following is an example of artificially acquired active immunity?

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