The patient is starting a 6-month prophylactic course of therapy with isoniazid (INH). Which teaching point should the health care provider emphasize to the patient?
a. Increase intake of Swiss or aged cheeses.
b. Avoid vitamin supplements during therapy.
c. Use alcohol in small to moderate amounts only.
d. Report yellowish color of eyes or skin immediately.
ANS: D
INH is hepatotoxic, and therefore the patient should report signs and symptoms of hepatitis im-mediately (which include yellow skin and sclera).
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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 nurse practitioner is teaching a 90-year-old client about her new medication regimen. Which of the following principles should the nurse integrate into the teaching session?
A) While numerous factors can interfere with learning, learning ability itself is not seriously altered with age. B) Older adults require simplified learning objectives and slower introduction of new directions. C) Simple association is well executed by older adults but complex analysis is normally absent. D) Successful learning late in life requires a multisensory teaching approach.
A 55-year-old patient tells the nurse that he seems to be getting "more colds" as he gets older. Which possible explanation would the nurse have for this observation?
1. Aging causes the immune system to have difficulty determining self from non-self cells. 2. With aging, the body has increased difficulty recognizing mutated cells. 3. The thymus gland shrinks with aging, reducing the maturation and differentiation of T cells needed to fight infections. 4. The thyroid gland begins to malfunction after the 4th decade of life.
A client in the unit believes the pneumonia he has is due to fate. The nurse overhears him asking his family to bring him home remedies for respiratory illnesses. What culture would you expect him to be a part of?
A) Christian B) African American C) Hindu D) Mexican American