A client with tuberculosis has been on drug therapy for several ...

[nummyann]

A client with tuberculosis has been on drug therapy for several months, but his sputum is still positive for tuberculosis bacilli. It would be most important for the nurse to ask:?
 
  1. When did you last take your medications?
  2. Have you taken all of your medicines as prescribed?
  3. Are you feeling better now that you are taking medicine?
  4. Have you had any reaction to your medications?

Question 2

The nurse has provided teaching to the client with cystic fibrosis and the family. Which client statement indicates that further instructions are necessary?
 
  1. I should use the controlled cough technique.
  2. I should not go to the concert this weekend.
  3. I should avoid immunizations.
  4. I will stay inside during days in the summer when pollution is high.

[vboyd24]

Answer to Question 1

Answer: 2

1. This question assumes that the client is taking the medication.
2. This would best help to determine whether the client has stopped taking the medication altogether or has been skipping doses, since 3-4 medications need to be taken for 6-12 months to effectively treat tuberculosis.
3. This question assumes the client is taking the medication.
4. This question assumes the client is taking the medication.

Answer to Question 2

Answer: 3

1. The client with CF should be taught the controlled cough technique.
2. To reduce the possibility of contracting a respiratory infection, the client should be encouraged to stay away from large crowds.
3. The client should be instructed to keep immunizations current to decrease the chance of infections.
4. When pollution is high, the client should remain inside and, if possible, in an air-conditioned room.