A nurse is caring for a client with tuberculosis (TB) who is taking rifampin for treatment of the disease. Which nursing interventions are appropriate for this client? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: Administer the medication on an empty stomach. Rifampin should be administered on an empty stomach to enhance absorption. Taking it with meals reduces absorption. A: Administering with meals is incorrect as it reduces absorption. B: Recording a baseline visual examination is not specific to rifampin therapy. D: Administering by deep intramuscular injection is unnecessary and not recommended for rifampin administration. In summary, the correct answer is C because it optimizes medication absorption.

Correct Answer: B

Rationale: The correct answer is B: Try to stay out of the direct sun between the hours of 10 AM and 2 PM. This is correct because UV radiation is strongest during these hours, so avoiding direct sun exposure at this time can significantly reduce the risk of sun damage. Choice A is incorrect because an SPF of at least 30 is recommended for adequate protection. Choice C is incorrect because water-resistant sunscreens may provide some protection but should be reapplied after swimming. Choice D is incorrect as increasing sun exposure can lead to skin damage rather than decrease the risk.

Correct Answer: A

Rationale: The correct answer is A: Thinning of the affected skin. High-potency topical corticosteroids can lead to skin atrophy, causing thinning of the skin with prolonged use. This adverse effect is important to assess for as it can increase the risk of skin fragility and potential for skin tears or bruising. Choice B: Alopecia of the affected areas is not typically associated with the use of topical corticosteroids, so it is an incorrect choice. Choice C: Dryness and scaling are common symptoms of atopic dermatitis itself, not directly caused by the corticosteroid ointment, making this choice incorrect. Choice D: Reddish-brown skin discoloration is not a common adverse effect of topical corticosteroids and is not typically seen with their use, making this choice incorrect.

Correct Answer: C

Rationale: The correct answer is C because applying a thick layer of corticosteroid cream can lead to overuse and potential side effects such as skin thinning. The appropriate amount of cream should be applied thinly and evenly to the affected area. Choice A is correct as taking a tepid bath can help cleanse the area before application. Choice B is correct as spreading the cream in a downward motion can prevent further irritation. Choice D is incorrect as covering the area with a dressing is not recommended for corticosteroid cream application, as it can lead to increased absorption and potential side effects.

Correct Answer: B

Rationale: The correct answer is B. A significant height loss in the patient's mother with aging suggests potential osteoporosis, a musculoskeletal issue common in older women. This would prompt a more focused assessment of the patient's musculoskeletal system to evaluate for osteoporosis risk factors, such as family history. Choices A, C, and D do not directly relate to musculoskeletal health or risk factors for musculoskeletal conditions. A past ankle sprain at age 13 is not a current issue; taking ibuprofen for headaches is more related to the neurological system, and the father's cause of death does not provide relevant information for assessing the patient's musculoskeletal health.