A neonate with TB is being discharged from the unit. Medications ...

[Redwolflake15]

A neonate with TB is being discharged from the unit. Medications are taught during discharge teaching. Which statement by the caregiver would indicate understanding of the TB medications?
 
  a. INH and rifampin should be given until the symptoms resolve
  b. INH will be given alone for 2 months
  c. INH and rifampin will be given for 6 months
  d. Pyrazinamide will be added at the end of 6 months if the INH and rifampin are ineffective

Question 2

The nurse is working with the family of a baby born with a cleft lip and cleft palate. The family has shown a lot of negative feelings toward the baby and seems preoccupied with the baby's appearance.
 
  Which of the following actions by the nurse would be best? a. Provide support, model accepting behaviors, and encourage touching and holding.
  b. Tell the family that this is a time then they must stand strong and help their baby.
  c. Suggest that there have been worse cases than this one, which is not all that bad.
  d. Ask the family to think about the fact that at least they have a baby even if it is not perfect.

[ms_sulzle]

Answer to Question 1

C
INH and rifampin are given for a 6-month period, regardless if symptoms have resolved. Pyrazinamide is added for the first 2 months. Streptomycin or ethambutol is added at the end of 6 months if the patient has a resistant strain of TB.

Answer to Question 2

A

Feedback
A Correct. The best actions by the nurse are to provide support, model accepting behaviors, and encourage touching and holding. Negative feelings by the caregivers may disrupt or delay attachment. The family's reactions are normal, but the nurse can aid in the bonding process by demonstrating acceptance of the baby.
B Incorrect. Telling the family that this is a time then they must stand strong and help their baby is not a helpful action by the nurse, nor is it the best.
C Incorrect. Suggesting that there have been worse cases than this one, which is not all that bad, negates their feelings and is not the best nursing intervention. Pointing out the baby's positive attributes can help decrease the focus of the defect.
D Incorrect. Asking the family to think about the fact that at least they have a baby even if it is not perfect is not an appropriate response from the nurse.

[Redwolflake15]

Excellent

[parshano]

TYSM