Nokea
As the nurse you know that one of the reasons for an increase in multidrug-resistant tuberculosis is:
- A. Incorrect medication ordered
- B. Increase in tuberculosis cases nationwide
- C. Incorrect route of drug ordered
- D. Noncompliance due to duration of medication treatment needed
Correct Answer: D
Rationale: Patients must be on medication treatment for about 6-12 months (depending on the type of TB the patient has). This leads to noncompliant issues. DOT (directly observed therapy) is now being instituted so compliance is increased. This is where a public health nurse or a trained DOT worker will deliver the medication and watch the patient swallow the pill until treatment is complete.
You may also like to solve these questions
Your patient is diagnosed with a latent tuberculosis infection. Select all the correct statements that reflect this condition:
- A. "The patient will not need treatment unless it progresses to an active tuberculosis infection."
- B. "The patient is not contagious and will have no signs and symptoms."
- C. "The patient will have a positive tuberculin skin test or IGRA test."
- D. "The patient will have an abnormal chest x-ray."
- E. "The patient's sputum will test positive for mycobacterium tuberculosis."
Correct Answer: B,C
Rationale: The patient WILL need medical treatment to prevent this case of LBTI from developing into an active TB infection later on. The patient will NOT have an abnormal chest x-ray or a positive sputum test. This is only in active TB.
Select all the following that can trigger an asthma attack:
- A. Sulfites
- B. Smoke
- C. Caffeine
- D. GERD
- E. Cold, windy weather
- F. Beta agonist
- G. Cockroaches
Correct Answer: A,B,D,E,G
Rationale: Triggers include sulfites, smoke, GERD, cold weather, and cockroaches. Caffeine and beta agonists are not typical triggers; beta agonists are treatments.
If a client is allergic to penicillin, the nurse should anticipate a hypersensitivity response to which other group of antibiotics?
- A. Aminoglycosides such as kanamycin (Kantrex)
- B. Tetracyclines such as doxycycline (Vibramycin)
- C. Cephalosporins such as ceftriaxone (Rocephin)
- D. Fluoroquinolones such as ciprofloxacin (Cipro)
Correct Answer: C
Rationale: Cephalosporins have a similar beta-lactam structure to penicillin, increasing the risk of cross-reactivity in penicillin-allergic clients.
Which assessment finding provides the best indication that the nurse needs to suction the client with a tracheostomy?
- A. Respirations are low.
- B. Pulse rate is slow.
- C. Breath sounds are wet.
- D. Blood pressure is elevated.
Correct Answer: C
Rationale: Wet breath sounds indicate mucus accumulation in the tracheostomy, necessitating suctioning to clear the airway.
Which nursing observation provides the best evidence that postural drainage is effective?
- A. The client's respiratory rate is increased.
- B. The client's heart rate is much improved.
- C. The client's sputum culture is negative.
- D. The client raises a large volume of sputum.
Correct Answer: D
Rationale: Raising a large volume of sputum indicates that postural drainage is effectively clearing secretions from the airways.