Author Question: A nurse is caring for a client with tuberculosis (RB) who is taking Rifampin for treatment of the ... (Read 47 times)

olgavictoria · **on:** Jun 25, 2018

A nurse is caring for a client with tuberculosis (RB) who is taking Rifampin for treatment of the disease. Which nursing interventions for this client?

Select all that apply.
A) Administer the medication with meals to reduce gastrointestinal side effects.
B) Record a baseline visual examination before initiating therapy.
C) Administer the medication on an empty stomach.
D) Administer the medication by deep intramuscular injection into a large muscle mass.
E) Monitor CBC, liver function studies, and renal function studies for evidence of toxicity.

Question 2

An adult client is admitted to the hospital with a diagnosis of kidney stones. The healthcare provider prescribes IV fluids, x-rays, blood work, and a Foley catheter for the client.

The nurse is caring for the client 3 days after admission and documents morning vital signs of 101 F, heart rate 92, respirations 25, and blood pressure 120/80. The urinary output has decreased, and the urine is cloudy and dark amber. Based on this data, which conclusion by the nurse is the most appropriate?
A) The client has passed the kidney stones.
B) The client is in acute renal failure.
C) The client has developed a respiratory infection.
D) The client has a probable urinary tract infection.

Jody Vaughn · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, E

Rifampin is an oral antituberculosis medication that should be administered on an empty stomach. The nurse should monitor the CBC, liver function studies, and renal function studies. A baseline visual examination before therapy is necessary with ethambutol, another antituberculosis medication.

Answer to Question 2

Answer: D

The client has developed a urinary tract infection that was not present upon admission. This is a healthcare-associated infection (HAI) and is likely due to poor technique when placing the Foley catheter. There is no evidence of a respiratory infections, renal failure, or the passage of kidney stones.