Question: A nurse has conducted discharge teaching with a client diagnosed with tuberculosis. The client has been taking medication for 11⁄2 weeks. The nurse evaluates that the client has understood the information if the client makes which of the following statements?
1. "I need to continue drug therapy for 2 months."
2. "I can't shop at the mall for the next 6 months."
3. "I can return to work if a sputum culture comes back negative."
4. "I should not be contagious after 2 to 3 weeks of medication therapy."
Answer: 4
Rationale: The client is continued on medication therapy for 6 to 12 months, depending on the situation. The client generally is considered not to be contagious after 2 to 3 weeks of medication therapy. The client is instructed to wear a mask if there will be exposure to crowds until the medication is effective in preventing transmission. The client is allowed to return to work when the results of three sputum cultures are negative.
Test-Taking Strategy: Use the process of elimination. Knowing that the medication therapy lasts for at least 6 months helps you eliminate option 1 first. Knowing that three sputum cultures must be negative helps you to eliminate option 3 next. From the remaining options, recalling that the client is not contagious after 2 to 3 weeks of therapy will direct you to option 4. If you had difficulty with this question, review the infectious period of tuberculosis.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—evaluation
Content Area: Adult health—respiratory
Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care. (6th ed., pp. 672-673). St. Louis: Saunders.
This week's NCLEX exam practice question is provided by:
Silvestri: Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition, Chapter 58, Question 664
Check out other great NCLEX exam resources from Elsevier!
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