MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient is being educated by the nurse about the administration of isoniazid (INH) therapy for tuberculosis. Which statement made by the patient indicates that the education is understood?
A
“I am going to have a tuna fish sandwich for lunch.”
B
“It is all right if I drink a glass of red wine with my dinner.”
C
“It is all right if I have a grilled cheese sandwich with American cheese.”
D
“It is fine if I eat sushi with a little bit of soy sauce.
Explanation: 

Detailed explanation-1: -Teach your patient to monitor for side effects and how to recognize isoniazid toxicity. Some common signs are N/V, rash, ataxia, altered mental status, slurred speech, dizziness and fever. Ensure your patient knows to avoid alcohol while taking the medication as alcohol increases the risk for hepatic impairment.

Detailed explanation-2: -The cardinal physiologic abnormalities of acute respiratory failure are hypercapnia, hypoventilation, and hypoxemia. The nurse should focus on resolving these problems.

Detailed explanation-3: -Nursing Management The nurse teaches the client to splint the chest wall by turning onto the affected side. The client also can splint the chest wall with his or her hands or a pillow when coughing.

Detailed explanation-4: -Do NOT clamp the tube for transport, because this is likely to cause a tension pneumothorax.

There is 1 question to complete.