Nokea
To prevent drug resistance from developing, the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli?
- A. An anti-inflammatory agent
- B. High doses of B complex vitamins
- C. Aminoglycoside antibiotics
- D. Administering two anti-tuberculosis drugs
Correct Answer: D
Rationale: Administering two anti-tuberculosis drugs. Resistance of the tubercle bacilli often occurs to a single antimicrobial agent. Therefore, therapy with multiple drugs over a long period of time helps to ensure eradication of the organism.
You may also like to solve these questions
An adult is on long-term aspirin therapy and complains of tinnitus. Which interpretation by the nurse is accurate?
- A. The aspirin is working as expected.
- B. The client ingested more medication than was recommended.
- C. The client has an upper GI bleed.
- D. The client is experiencing a minor overdose.
Correct Answer: D
Rationale: Tinnitus is a sign of aspirin toxicity (salicylism), indicating a minor overdose. It's not an expected effect, and GI bleed would present with other symptoms like melena.
The drug of choice to decrease uric acid levels is:
- A. prednisone (Colisone).
- B. allopurinol (Zyloprim).
- C. indomethacin (Indocin).
- D. hydrochlorothiazide (HydroDiuril).
Correct Answer: B
Rationale: Allopurinol reduces uric acid production, making it the drug of choice for gout management. The other medications address inflammation, pain, or fluid balance, not uric acid directly. Physiological Adaptation
With an alert of an internal disaster and the need for beds, the charge nurse is asked to list clients who are potential discharges within the next hour. Which client should the charge nurse select?
- A. An elderly client who has had type 2 diabetes for over 20 years, admitted with diabetic ketoacidosis 24 hours ago
- B. An adolescent admitted the prior night with Tylenol intoxication
- C. A middle-aged client with an internal automatic defibrillator and complaints of 'passing out at unknown times' admitted yesterday
- D. A school-aged child diagnosed with suspected bacterial meningitis and was admitted at the change of shifts
Correct Answer: A
Rationale: This client is the most stable and has a chronic condition. Tylenol intoxication requires at least 3 to 4 days of intensive observation for the risk of hepatic failure. The other clients would be considered unstable.
As a part of the long-range planning, the nurse should:
- A. Provide positive feedback when the patient uses a word correctly.
- B. Wait for the patient to verbally state needs regardless of how long it may take.
- C. Suggest that the patient get help at home because the disability is permanent.
- D. Help the family to accept the fact that the patient cannot participate in verbal communication.
Correct Answer: A
Rationale: Positive feedback encourages progress in expressive aphasia recovery.
An adult who has Bell's palsy says to the nurse, 'Will I always look this weird?' How should the nurse reply?
- A. You will probably always have a little droop, but it will not be as bad as it is now.'
- B. Many people have a full recovery from Bell's palsy.'
- C. Once the acute phase is over, your physician may recommend plastic surgery.'
- D. Makeup should cover any residual from the disease.'
Correct Answer: B
Rationale: Bell's palsy often resolves completely within weeks to months, so reassuring the client of potential full recovery is accurate and supportive.