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Free NCLEX-RN Exam Braindumps (page: 221)

Page 220 of 431
PDF with 862 Questions

Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?

  1. Monitor liver function.
  2. Monitor renal function.
  3. Assess knowledge of respiratory isolation.
  4. Monitor compliance with drug therapy.

Answer(s): D

Explanation:

(A) Monitoring liver function will not prevent the development of drug-resistant organisms. (B) Monitoring renal function will not prevent the development of drug-resistant organisms. (C) Knowledge of respiratory isolation will reduce transmission of tuberculosis but will not prevent development of drug-resistant organisms. (D) Noncompliance with prescribed antituberculosis drug regimen is the primary cause of drug-resistant organisms. Noncompliance permits the mutation of organisms.



Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?

  1. Monitor liver function.
  2. Monitor renal function.
  3. Assess knowledge of respiratory isolation.
  4. Monitor compliance with drug therapy.

Answer(s): D

Explanation:

(A) Monitoring liver function will not prevent the development of drug-resistant organisms. (B) Monitoring renal function will not prevent the development of drug-resistant organisms. (C) Knowledge of respiratory isolation will reduce transmission of tuberculosis but will not prevent development of drug-resistant organisms. (D) Noncompliance with prescribed antituberculosis drug regimen is the primary cause of drug-resistant organisms. Noncompliance permits the mutation of organisms.



A mother called the physician's office to ask if it would help relieve her small daughter's abdominal pain if she gave an enema and placed a heating pad on the abdomen. Her daughter has a fever and has vomited twice.
The nurse's response is based on the knowledge that:

  1. The symptoms could easily have been caused by constipation, which an enema would relieve
  2. Heat would help to relax the abdominal muscles and relieve her pain
  3. Both heat and enemas stimulate intestinal motility and could increase the risk of perforation
  4. Complaints of stomach ache are common in young children and are generally best ignored

Answer(s): C

Explanation:

(A) Constipation does not cause fever or vomiting but may cause anorexia. Risk of perforation outweighs the possible benefits of an enema. (B) Heat will not relieve her symptoms but will increase intestinal motility and increase the risk of perforation. (C) Heat and enemas are contraindicated where severe abdominal pain is suspected because they increase intestinal motility and the risk of perforation. (D) Complaints accompanied by physical symptoms such as pain, anorexia, and fever should never be ignored.



A mother called the physician's office to ask if it would help relieve her small daughter's abdominal pain if she gave an enema and placed a heating pad on the abdomen. Her daughter has a fever and has vomited twice.
The nurse's response is based on the knowledge that:

  1. The symptoms could easily have been caused by constipation, which an enema would relieve
  2. Heat would help to relax the abdominal muscles and relieve her pain
  3. Both heat and enemas stimulate intestinal motility and could increase the risk of perforation
  4. Complaints of stomach ache are common in young children and are generally best ignored

Answer(s): C

Explanation:

(A) Constipation does not cause fever or vomiting but may cause anorexia. Risk of perforation outweighs the possible benefits of an enema. (B) Heat will not relieve her symptoms but will increase intestinal motility and increase the risk of perforation. (C) Heat and enemas are contraindicated where severe abdominal pain is suspected because they increase intestinal motility and the risk of perforation. (D) Complaints accompanied by physical symptoms such as pain, anorexia, and fever should never be ignored.






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