Author Question: A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority? ... (Read 36 times)

joblessjake · **on:** Jun 25, 2018

A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?

a. Educating the client on adherence to the treatment regimen
b. Encouraging the client to eat a well-balanced diet
c. Informing the client about follow-up sputum cultures
d. Teaching the client ways to balance rest with activity

Question 2

A client admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the client questions this action, saying I have been drinking tons of water. How am I dehydrated? What response by the nurse is best?

a. Breathing so quickly can be dehydrating.
b. Everyone with pneumonia is dehydrated.
c. This is really just to administer your antibiotics.
d. Why do you think you are so dehydrated?

HandsomeMarc · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The treatment regimen for TB ranges from 6 to 12 months, making adherence problematic for many people. The nurse should stress the absolute importance of following the treatment plan for the entire duration of prescribed therapy. The other options are appropriate topics to educate this client on but do not take priority.

Answer to Question 2

ANS: A
Tachypnea and mouth breathing, both seen in pneumonia, increase insensible water loss and can lead to a degree of dehydration. The other options do not give the client useful information.