A patient comes to a clinic for tuberculosis medications 2 weeks after beginning treatment with a four-drug induction phase. The patient's sputum culture remains positive, and no drug resistance is noted

At this point, the nurse will expect the provider to: a. change the regimen to a two-drug contin-uation phase.
b. continue the four-drug regimen and re-check the sputum in 2 weeks.
c. obtain a chest radiograph and consider adding another drug to the regimen.
d. question the patient about adherence to the drug regimen.


B
In patients with positive pretreatment sputum test results, sputum should be evaluated every 2 to 4 weeks until cultures are negative and then monthly thereafter. In the absence of drug resistance, treatment with the same regimen should continue. Sputum cultures should become negative in over 90% of patients in 3 or more months. The induction phase should last 2 months, so this pa-tient should remain on a four-drug regimen. It is not necessary to order a chest radiograph or to add another drug at this stage of treatment. The patient is stable and has not developed symptoms that cause concern, so the patient does not need to be questioned about adherence.

Nursing

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The nurse is caring for a 35-year-old man diagnosed with a back strain. What would be important to discuss with this patient?

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The nurse is performing a nutritional assessment for an older adult who takes no medications. Which of the following laboratory values is of most concern to the nurse?

1. Albumin 4.2 gm/L 2. Prealbumin 322 mg/L 3. Transferrin 400 mg/dL 4. Cholesterol 114 mg/dL

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The intended or desired physiological response to a medication is known as its ____________

Fill in the blanks with correct word

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The nurse is preparing a plan of care for a client with an autistic disorder. A behavior modification approach (operant conditioning) is being used to improve communication

Which of the following would be appropriate for the nurse to include in the plan of care? 1. Avoid providing rewards to the client. 2. Promote complete independence in the client. 3. Reward the client when a desired behavior is performed. 4. Provide consistent negative reinforcement to promote appropriate behaviors.

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