Question

1. A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following information should the nurse include in the teaching?

1. "You should wear an N95 respirator mask when you are at home."
2. "Your provider will discontinue your medications after 3 months of therapy."
3. You will need to return in 2 weeks to provide a sputum specimen."
4. "You can drink alcohol after the first 6 weeks of treatment."

2. A nurse is providing teaching for a client who has tuberculosis and a new prescription for pyrazinamide. The nurse should instruct the client to notify the provider if which of the following adverse effects occurs?

1. Weight gain
2. Hair loss
3. Jaundice
4. Polyuria

3. A nurse is caring for a client who experienced extensive burns to the arms and torso. Which of the following actions should the nurse take regarding the client's oral nutritional Intake?

1. Avoid the use of supplemental feedings throughout the day.
2. Adhere to scheduled meal times three times daily.
3. Encourage the client to eat as many calories as possible.
4. Limit the client's fluid intake to 1,500 ml/day.

4. A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?

1. "I would rather be in a wheelchair than use a walker to get around."
2. "I've been having problems with bladder control."
3. 11 have difficulty swallowing food."
4. "I have a hard time with brushing my hair."

Answer 1

c).You will need to return in 2 weeks to provide a sputum specimen.  

Examining sputum at regular intervel allows the doctor to know the condition and treatment progress.

Surgical mask is recommended to wear by a TB patient, not N95 mask.Tb treatment must be continued at least for 6 months.so the providerwill not instruct to stop treatment after 3 months.Alcohol consuption during TB treatment can worsen the side effects of the medicines as well as produce toxicity.

C) Jaundice

One of the serious adverse effect of pyrazinamide is liver disease which would be characterised by yellow skin and eyes(jaundice), abdominal pain, nausea, vomiting.

C) Encourage the client to eat as many calories as possible.

Burn patient needs more calories than normal . Diet high in calories and protiens supports the immune system, thus lowering the infection and aid in faster wound healing.

A) "I would rather be in a wheelchair than use a walker to get around."

Myasthenia gravis is characterised by skeletel muscle weakness and fatigue and it limits activities . The goal of occupational therapy includes,monitoring to prevent complication,maximising functional capacity, promoting access to optimise quality of life.An occupational therapist can support the patient to maintain functional mobility( by assisting him in walking ),thus he can assist in the rehabilitation.

Managing problem with bladder control or difficulty in swalloing are not related to an occupational therapy