The nurse caring for a patient who has tuberculosis and who is taking isoniazid, rifampin, and streptomycin reviews the medical record and notes the patient's sputum cultures reveal resistance to streptomycin

The nurse will anticipate that the provider will take which action?
a. Add ethambutol (Myambutol).
b. Change the streptomycin to clarithromycin.
c. Change the streptomycin to kanamycin.
d. Order renal function tests.


ANS: C
The patient's current regimen is first-phase treatment. If resistance to streptomycin develops, the provider can change to kanamycin or to ciprofloxacin. Ethambutol is added if there is resistance to isoniazid. Clarithromycin is used during phase II. Renal function tests are not indicated.

Nursing

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A client is being managed for prevention of gout and the nurse is reviewing the client's medication list and teaching about the medications. The nurse evaluates that the client understands the medication when the client says

a. "Allopurinol blocks production of uric acid." b. "Colchicine can be used with probenecid." c. "Long-term steroids are needed to prevent attacks." d. "NSAIDs are not effective against the pain of gout."

Nursing

The nurse has presented an educational session to local politicians about the health impact of discrimination based on sexual orientation

Which statements indicate that further education is needed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Lesbians who stay at home to raise children receive healthcare benefits through their partner's employer." 2. "A lesbian will receive her partner's retirement funds if the partner dies unexpectedly.". 3. "Lesbian couples can be homeless because of eviction based solely on their sexual orientation." 4. "A veteran discharged from the Army because she is lesbian cannot receive care at the U.S. Department of Veterans Affairs." 5. "A parent with children can be fired in most states if it becomes known that she is a lesbian."

Nursing

A nurse is teaching a patient with Addison disease who has a prescription for corticosteroids. Which statement is most important for the nurse to include in the teaching plan?

a. Take the medication every day. b. Take the medication on an empty stomach. c. Stop the medication if gastrointestinal symptoms appear. d. Double the medication during stressful events.

Nursing

A client is in the hospital with a bleeding gastric ulcer and requires a blood transfusion. He has been typed and crossmatched for 2 units of packed red blood cells and found to have type O blood

What type of blood will the nurse administer to this client? A) Type A B) Type B C) Type AB D) Type O

Nursing