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:

Sulfonamides can increase the risk of crystalluria, which may lead to kidney stones. Adequate fluid intake can help dilute the urine and reduce the risk of crystalluria and kidney stone formation. This is a relevant and appropriate response by the nurse.

Choice B rationale:

Sulfonamides can make the skin more sensitive to sunlight, increasing the risk of sunburn. However, increasing fluid intake is primarily to prevent kidney stone formation, not a reaction to sunlight.

Choice C rationale:

While maintaining adequate hydration does help prevent dehydration, this answer does not directly address the potential side effects or risks associated with sulfonamide use. It is a bit too general and doesn't provide specific information related to the medication.

Choice D rationale:

Sulfonamides can affect blood counts in some cases, but maintaining adequate fluid intake is not primarily related to preventing low blood counts. It's more about mitigating the specific side effects associated with sulfonamide use, such as crystalluria and kidney stones.

A. Fever. B. Hypotension. C. Sedation. D. Constipation.

Correct Answer is A

Explanation

Choice A rationale:

Fever is a common side effect of the influenza vaccine (Fluzone). It's not usually a severe adverse reaction and is typically mild and short-lived. Patients should be informed about this potential side effect so they are aware and can take appropriate measures, such as taking antipyretic medications if needed.

Choice B rationale:

Hypotension is not a common adverse reaction to the influenza vaccine. While vaccines can sometimes cause allergic reactions, leading to symptoms like hypotension, this is very rare. Warning about this potential side effect would not be a priority.

Choice C rationale:

Sedation is not a common adverse reaction to the influenza vaccine. In general, the influenza vaccine is not associated with sedation. This side effect is more likely to be associated with medications or treatments other than vaccines.

Choice D rationale:

Constipation is not a common side effect of the influenza vaccine. Gastrointestinal symptoms like constipation are not typically associated with the influenza vaccine. It's important to focus on informing patients about potential side effects that are more likely to occur.

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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 client asks the nurse why she needs to increase her fluid intake while taking sulfonamides.Which response by the nurse would be most appropriate?

Correct Answer is A

Explanation

A nurse should warn a client about which of the following adverse reactions that can occur after the administration of influenza vaccine (Fluzone)?

Correct Answer is A

Explanation

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