This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need ... (Read 122 times)

Charlie

  • Hero Member
  • *****
  • Posts: 640
on: Jun 25, 2018
A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the health care provider immediately?
 
  a. Albumin: 5.1 g/dL
  b. Alanine aminotransferase (ALT): 180 U/L
  c. Red blood cell (RBC) count: 5.2/mm3
  d. White blood cell (WBC) count: 12,500/mm3

Question 2

A client seen in the emergency department reports fever, fatigue, and dry cough but no other upper respiratory symptoms. A chest x-ray reveals mediastinal widening. What action by the nurse is best?
 
  a. Collect a sputum sample for culture by deep suctioning.
  b. Inform the client that antibiotics will be needed for 60 days.
  c. Place the client on Airborne Precautions immediately.
  d. Tell the client that directly observed therapy is needed.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

srodz

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
INH can cause liver damage, especially if the client drinks alcohol. The ALT (one of the liver enzymes) is extremely high and needs to be reported immediately. The albumin and RBCs are normal. The WBCs are slightly high, but that would be an expected finding in a client with an infection.

Answer to Question 2

ANS: B
This client has manifestations of early inhalation anthrax. For treatment, after IV antibiotics are finished, oral antibiotics are continued for at least 60 days. Sputum cultures are not needed. Anthrax is not transmissible from person to person, so Standard Precautions are adequate. Directly observed therapy is often used for tuberculosis.


Charlie

  • Member
  • Posts: 640
Reply 2 on: Jun 25, 2018
Gracias!

blakcmamba

  • Member
  • Posts: 335
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

The average adult has about 21 square feet of skin.

Chuckwalla body lengths at the end of a laboratory rearing experiment Chuckwalla body lengths at the end of a laboratory rearing experiment
The experimental design and results of Lester and Gorzalka (1988). On the third test, the female ... The experimental design and results of Lester and Gorzalka (1988). On the third test, the female ...
A hot stone placed under the client’s neck. A hot stone placed under the client’s neck.
Measuring the client’s blood pressure Measuring the client’s blood pressure
Testing the client’s ability to feel vibrations, the knee Testing the client’s ability to feel vibrations, the knee
Results of mixing blood of the same or differing ABO blood types Results of mixing blood of the same or differing ABO blood types
Video: Burn Animation

For a complete list of videos, visit our video library