A patient diagnosed with active tuberculosis (TB) is homeless and has a history of alcohol abuse. Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?

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NCLEX Questions on Oxygenation and Perfusion Questions

Question 1 of 5

A patient diagnosed with active tuberculosis (TB) is homeless and has a history of alcohol abuse. Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?

Correct Answer: C

Rationale: Providing daily meals and medication at a community center addresses barriers like homelessness and ensures directly observed therapy (DOT), improving adherence.

Question 2 of 5

The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which information obtained from the patient would prompt the nurse to consult with the health care provider before administering the prescribed theophylline?

Correct Answer: C

Rationale: Cimetidine inhibits theophylline metabolism, increasing toxicity risk, necessitating consultation.

Question 3 of 5

A patient newly diagnosed with asthma is being discharged. The nurse anticipates including which topic in the discharge teaching?

Correct Answer: C

Rationale: Inhaled corticosteroids are a cornerstone of asthma management, requiring patient education on use.

Question 4 of 5

What lung sounds are likely heard in the early phase of heart failure?

Correct Answer: C

Rationale: Fine crackles are likely to be heard in the early phase of heart failure. Fine crackles are discontinuous, high-pitched sounds of short duration heard on inspiration. Course crackles are a series of long-duration, discontinuous, low-pitched sounds during inspiration. Wheezes are continuous high-pitched musical sounds on inspiration and expiration.

Question 5 of 5

What risk factors should the nurse assess for in a patient with suspected laryngeal cancer?

Correct Answer: A

Rationale: Prolonged alcohol use and smoking are associated with the development of laryngeal cancer, which the patient's symptoms and history suggest. Family history is not a risk factor for head or neck cancer.

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