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"You should switch to wearing your glasses while taking this medication." - correct answers A patient
who wears contact lenses is to be placed on rifampin for tuberculosis therapy. What should the nurse
tell the patient?
"Only wear your contact lenses during the day and take them out in the evening before bed."
"You should switch to wearing your glasses while taking this medication."
"The physician can give you eye drops to prevent any problems."
"There are no significant problems with wearing contact lenses."
6-12 months - correct answers The nurse is educating a patient who will be started on an
antituberculosis medication regimen. The patient asks the nurse, "How long will I have to be on these
medications?" What should the nurse tell the patient?
3 months
3 to 5 months
6 to 12 months
13 to 18 months
6 to 12 months - correct answers After diagnosing a client with pulmonary tuberculosis, the physician
tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against
tuberculosis. The client's daughter asks the nurse how long the drug must be taken. What is the usual
duration of prophylactic isoniazid therapy?
,3 to 5 days
1 to 3 weeks
2 to 4 months
6 to 12 months
Developing a list of people with whom the client has had contact - correct answers A recent immigrant is
diagnosed with pulmonary tuberculosis (TB). Which intervention is the most important for the nurse to
implement with this client?
Client teaching about the cause of TB
Reviewing the risk factors for TB
Developing a list of people with whom the client has had contact
Client teaching about the importance of TB testing
Negative - correct answers A nurse reading a chart notes that the client had a Mantoux skin test result
with no induration and a 1-mm area of ecchymosis. How does the nurse interpret this result?
Negative
Positive
Borderline
Uncertain
Wearing a disposable particulate respirator that fits snugly around the face - correct answers A client is
admitted to the health care facility with active tuberculosis (TB). What intervention should the nurse
include in the client's care plan?
Wearing a disposable particulate respirator that fits snugly around the face
Instructing the client to wear a mask at all times
Wearing a gown and gloves when providing direct care
Keeping the door to the client's room open to observe the client
, HIV encephalopathy - correct answers A client with acquired immune deficiency syndrome (AIDS) is
brought to the clinic by a family member. The family member tells the nurse the client has become
forgetful, with a limited attention span, decreased ability to concentrate, and delusional thinking. What
condition is represented by these symptoms?
Distal sensory polyneuropathy (DSP)
Candidiasis
HIV encephalopathy
Cytomegalovirus (CMV)
Western blot test for confirmation of diagnosis. - correct answers A client with suspected exposure to
HIV has been tested with the enzyme-linked immunosorbent assay (ELISA) with positive results twice.
The next step for the nurse to explain to the client for confirmation of the diagnosis is to perform a:
p24 antigen test for confirmation of diagnosis.
Western blot test for confirmation of diagnosis.
polymerase chain reaction test for confirmation of diagnosis.
T4-cell count for confirmation of diagnosis.
"The client may have cryptococcal meningitis and will need to be evaluated by the health care provider."
- correct answers The nurse receives a phone call at the clinic from the family of a client with AIDS. They
state that the client started "acting funny" and reported headache, tiredness, and a stiff neck. Checking
the temperature resulted in a fever of 103.2°F. What should the nurse inform the family member?
"The client probably has a case of the flu and you should give acetaminophen."
"The client may have cryptococcal meningitis and will need to be evaluated by the health care
provider."
"This is one of the side effects from antiretroviral therapy and will require changing the medication."
"The client probably has pneumocystis pneumonia and will need to be evaluated by the health care
provider."
TMP-SMZ - correct answers A client is diagnosed with pneumocystis pneumonia (PCP). What medication
does the nurse anticipate educating the client about for treatment?