A patient newly diagnosed with tuberculosis asks the nurse why oral medications must be given in the clinic. The nurse will tell the patient that medications are given in the clinic so that:
a. clinic staff can observe adherence to drug regimens.
b. nurses can monitor for drug toxicities.
c. providers can adjust doses as needed.
d. the staff can ensure that the U.S. Food and Drug Administration (FDA) regulations are met.
ANS: A
Adherence to drug regimens is a serious problem in the treatment of TB. Directly observed therapy (DOT) combined with intermittent dosing helps ensure adherence and increases the chance of success. Patients report drug side effects to providers; it is not necessary to give drugs in the clinic to monitor this. Doses are adjusted based on response to treatment and not on DOT. The FDA regulations do not require DOT.
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Which of the following best describes why it is important for the nurse to be knowledgeable about the community when providing care to individuals?
a. As nurses travel to meet with clients, they must know the community to find the client's residence. b. On the basis of information from community assessment, community health nurses can be visible and vocal advocates for health care reform. c. Community health nurses are expected to have information about the community to share with individual clients. d. Individuals and families are strongly influenced by the community and environment around them.
A patient asks the nurse, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What response by the nurse is best?
1. "Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred." 2. "Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation." 3. "Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable drop in temperature indicates that ovulation is about to occur." 4. "This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control."
A client suffers from chronic pain. The nurse suggests the client have monthly massages. This is an example of
A) Adjuvant medicine B) Palliative medicine C) Alternative medicine D) Allopathic medicine
When discussing human growth and development with the parents of a newborn, the nurse includes that:
1. Growth involves physical change and increase in size. 2. Skills and function increase with growth. 3. Most humans experience a similar pattern of growth. 4. Being able to adapt to one's environment is an indicator of growth. 5. Children's growth is monitored by height, weight, bone size, and dentition.