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A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
- A. You should wear glasses instead of contacts while taking this medication.
- B. A yellow tint to the skin is an expected reaction to the medication.
- C. Lifelong treatment with this medication is necessary.
- D. The medication causes amenorrhea if taken along with an oral contraceptive.
Correct Answer: A
Rationale: Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. Therefore, it is recommended to wear glasses instead of contacts while taking this medication.
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A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply)
- A. Polyuria.
- B. Sweating.
- C. Blurry vision.
- D. Tachycardia.
- E. Polydipsia.
Correct Answer: B,C,D
Rationale: Sweating, blurry vision, and tachycardia are manifestations of hypoglycemia due to adrenaline release and glucose deficiency affecting bodily functions.
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?
- A. I can have 6 ounces of alcohol before bed to help me sleep.
- B. I will have a snack 1 hour before going to bed.
- C. I should elevate the head of the bed.
- D. I will sleep on my stomach with my head flat.
Correct Answer: C
Rationale: Elevating the head of the bed helps reduce acid reflux by keeping stomach acid from flowing back into the esophagus during sleep.
A nurse is preparing a client for intradermal tuberculin skin testing (TST). Which of the following statements should the nurse make?
- A. An indurated area of 4 millimeters indicates a positive result.
- B. The injection site will be evaluated within 24 hours.
- C. A positive result does not always indicate active disease.
- D. The test will not be administered if you have had a previous negative result.
Correct Answer: C
Rationale: A positive tuberculin skin test result indicates TB infection but does not necessarily mean active disease, requiring further testing to confirm.
A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?
- A. COPD.
- B. Anemia.
- C. Diabetes mellitus.
- D. Osteoporosis.
Correct Answer: C
Rationale: Diabetes mellitus increases UTI risk due to high blood sugar levels promoting bacterial growth and impaired immune function.
A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?
- A. Apply an ice pack to painful joints for 20 minutes, 3 times a day.
- B. Take a dose of aspirin on days when you have more pain.
- C. Increase your water intake to 2 liters per day.
- D. Participate in high impact aerobics to increase joint mobility.
Correct Answer: C
Rationale: Increasing water intake to 2 liters daily supports joint lubrication and overall health in osteoarthritis management.