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 A

Explanation

Choice A rationale:

Impaired hepatic function requires cautious use of antiretroviral therapy. Many antiretroviral drugs are metabolized in the liver, and impaired hepatic function can affect drug metabolism and lead to potential drug interactions and toxicity. Adjustments in antiretroviral therapy may be needed in individuals with liver impairment.

Choice B rationale:

Impaired renal function also requires cautious use of antiretroviral therapy. Some antiretroviral drugs are eliminated by the kidneys, and impaired renal function can affect drug clearance. Dosing adjustments and drug selection may be necessary in individuals with renal impairment to prevent drug accumulation and toxicity.

Choice C rationale:

Hypertension is not a specific condition that requires cautious use of antiretroviral therapy. While some antiretroviral drugs can have side effects related to blood pressure, such as protease inhibitors, hypertension itself is not a contraindication for antiretroviral therapy.

Choice D rationale:

COPD (Chronic Obstructive Pulmonary Disease) is not a specific condition that requires cautious use of antiretroviral therapy. Antiretroviral therapy is primarily used in the treatment of HIV, and COPD is a lung condition unrelated to HIV. The two conditions do not directly interact, and COPD is not a contraindication for antiretroviral therapy. .

A. An individual who is exposed to chickenpox for the first time and has no immunity to the disease. B. An individual who is exposed to pertussis for the first time and has no immunity to the disease. C. Administration of the influenza vaccine to an individual who has immunity to the disease. D. Administration of the rubella vaccine to an individual who has no immunity to the disease.

Correct Answer is D

Explanation

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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 group of nursing students are reviewing information about antiretroviral therapy.The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?

Correct Answer is A

Explanation

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

Correct Answer is D

Explanation

If the nurse has to clean up a spill of antineoplastic drug, which of the following personal protective equipment should be worn?

A nurse needs to administer a cephalosporin to a patient.The patient informs the nurse that he is allergic to penicillin.Which action by the nurse would be most appropriate?

A physician has prescribed simethicone to a client with postoperative abdominal distention.After administering the drug, the nurse would assess the client for the possibility of which of the following?

A nurse is reviewing the medical record of a client who is prescribed tetracycline. The nurse would be alert for an increased risk of toxicity if the client is taking which of the following?

A nurse is caring for a client brought to the health care facility for a drug overdose.In which of the following cases can the client be administered an emetic?

Which of the following would the nurse emphasize when teaching the client and family about measures to prevent reinfection and the transmission of a parasitic infection to others?

A client has been diagnosed with cancer.The physician prescribes antineoplastic drug therapy to the client.Which of the following would the nurse include in the discussion about the prescribed therapy?

A patient develops a superinfection due to fluoroquinolone therapy.The patient asks the nurse why this happened.Which response by the nurse would be most appropriate?