The nurse reviews the client’s test results
Exhibits
For each potential provider’s prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
A.
Contact precautions
B.
Ethambutol
C.
Monthly TB skin test for 1 year
D.
Isoniazid
E.
Airborne precautions
F.
Pyrazinamide
G.
Rifampin
The correct answer and Explanation is :
To determine which prescriptions or precautions are anticipated or contraindicated for a client, it’s essential to understand the client’s condition and the nature of each intervention. For this example, I’ll assume the client is at risk for or has active tuberculosis (TB) due to the mention of medications and tests related to TB.
Here’s a breakdown:
A. Contact precautions
- Anticipated: Contact precautions are used to prevent the spread of infections that can be transmitted through direct or indirect contact. For a client with active TB, especially if there are concerns about multi-drug-resistant TB (MDR-TB), contact precautions are essential to prevent transmission to others.
B. Ethambutol
- Anticipated: Ethambutol is one of the first-line drugs used in the treatment of TB. It’s typically included in a multi-drug regimen for active TB.
C. Monthly TB skin test for 1 year
- Contraindicated: Monthly TB skin tests are not generally recommended. The standard practice is to perform a TB skin test (or other TB tests like QuantiFERON) initially to determine exposure or active disease. For ongoing monitoring, clinical evaluation and follow-up tests as directed by a healthcare provider are more appropriate.
D. Isoniazid
- Anticipated: Isoniazid is another first-line medication used in the treatment of TB. It is commonly prescribed alongside other medications such as rifampin, ethambutol, and pyrazinamide.
E. Airborne precautions
- Anticipated: Airborne precautions are essential for patients with active TB to prevent the spread of bacteria through the air. This is crucial to protect others in shared spaces or healthcare settings.
F. Pyrazinamide
- Anticipated: Pyrazinamide is also a first-line drug used in the treatment of TB. It is typically used in combination with other TB medications for effective treatment.
G. Rifampin
- Anticipated: Rifampin is a core component of TB treatment regimens. It is effective in killing TB bacteria and is used alongside other medications.
In summary, for a client with active TB, the anticipated interventions would include airborne precautions, contact precautions, and the administration of first-line TB medications such as ethambutol, isoniazid, pyrazinamide, and rifampin. Monthly TB skin tests are not typically used for ongoing monitoring and would be considered contraindicated.