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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Isoniazid Isoniazid is one of the first-line drugs used in the initial treatment phase of tuberculosis (TB). It is a key component of the standard regimen for TB treatment. Isoniazid is highly effective against Mycobacterium tuberculosis, the bacterium responsible for TB, and it plays a critical role in the initial phase of treatment to rapidly reduce the bacterial load.
Choice B rationale:
Ciprofloxacin Ciprofloxacin is not a first-line drug for the treatment of tuberculosis. While it has antibacterial properties, it is not considered one of the primary agents for TB treatment. It is more commonly used to treat other types of bacterial infections, such as urinary tract infections.
Choice C rationale:
Gentamycin Gentamycin is not typically used as a first-line treatment for TB. It is reserved for specific situations, such as drug-resistant TB cases, and is not part of the standard initial treatment regimen for TB.
Choice D rationale:
Clindamycin Clindamycin is not a first-line drug for the treatment of tuberculosis. It is primarily used to treat anaerobic bacterial infections and is not a standard part of TB treatment protocols.
Correct Answer is B
Explanation
Choice A rationale:
Sedation is not a common adverse reaction to antiretroviral therapy. Antiretroviral medications are primarily used to treat HIV and do not typically cause sedation.
Choice B rationale:
Bruising is a potential adverse reaction to antiretroviral therapy. Some antiretroviral medications can cause blood-related side effects, such as decreased platelet count, which can result in easy bruising and bleeding. It's important for the nurse to include this in the teaching plan to ensure the client is aware of this potential side effect.
Choice C rationale:
Altered taste is not a common adverse reaction to antiretroviral therapy. While some medications can cause taste disturbances, this is not a typical side effect of antiretroviral drugs.
Choice D rationale:
Constipation is not a common adverse reaction to antiretroviral therapy. Antiretroviral medications primarily target the HIV virus and do not typically cause gastrointestinal issues like constipation.
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