NCLEX RN Prioritization Questions - Nurselytic

Correct Answer: B

Rationale: The first action should be to determine whether the patient has been compliant with drug therapy because negative sputum smears would be expected if the TB bacillus is susceptible to the medications and if the medications have been taken correctly. Assessment is the first step in the nursing process. Depending on whether the patient has been compliant or not, different medications or directly observed therapy may be indicated. The other options are interventions based on assumptions until an assessment has been completed. Teaching about drug-resistant TB treatment (
Choice
A) is premature without knowing the current medication compliance status. Scheduling directly observed therapy (
Choice
C) assumes non-compliance without confirming it first. Discussing the need for an injectable antibiotic (
Choice
D) is premature and not necessarily indicated without assessing the current medication adherence.

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