A 72-year-old patient with TB is undergoing standard treatment in ...

[jerry coleman]

A 72-year-old patient with TB is undergoing standard treatment in a health care facility. Which ongoing assessment would the nurse complete?
 
  A) Monitoring for appearance of adverse reactions
  B) Monitoring patient's vital signs every 24 hours
  C) Assessing patient's history of contacts
  D) Use DOT to administer the drug to the patient

Question 2

A patient with TB is admitted to a health care facility. The nurse is required to administer an antitubercular drug through the parenteral route to this patient.
 
  Which of the following precautions should the nurse take when administering frequent parenteral injections?
 
  A) Rotate injection sites for frequent parenteral injections.
  B) Monitor patient's vital signs each morning.
  C) Monitor signs of liver dysfunction weekly.
  D) Administer streptomycin to promote nutrition.

[nekcihc358]

Answer to Question 1

Ans: A
Feedback:
The nurse should monitor for the appearance of adverse reactions in the patient during ongoing assessment of the treatment. The nurse should monitor vital signs of the patient every 4 hours and not every 24 hours when the patient is hospitalized. The nurse should assess the patient's history of contacts as part of the preadministration assessment and not as part of the ongoing assessment. DOT can only be used by the nurse to administer antitubercular drugs when the patient is at home, at his place of employment, or in school. DOT is not used when the patient is hospitalized.

Answer to Question 2

Ans: A
Feedback:
The nurse should be careful to rotate injection sites when administering frequent parenteral injections. At the time of each injection, the nurse inspects previous injection sites for signs of swelling, redness, and tenderness. The nurse should monitor any signs of liver dysfunction monthly in patients who are being administered antitubercular drugs. The nurse should ensure that pyridoxine, and not streptomycin, is administered to the patient to promote nutrition, but this is only administered if the patient has been living in impoverished conditions and is malnourished. The nurse should monitor the patient's vital signs every 4 hours and not once every morning.

[jerry coleman]

Thank you!

[nekcihc358]

Always glad to help...