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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    The nurse reviews the client's test results. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

    Explanation & Rationale

    Anticipated: Pyrazinamide: This is a first-line anti-tuberculosis medication used in combination therapy to treat active TB. It helps shorten treatment duration and targets intracellular bacteria. Contact precautions: TB is transmitted via airborne droplets, requiring airborne precautions instead. However, contact precautions can still be implemented in addition to airborne precautions. Ethambutol: This medication is used to prevent resistance and is part of the standard four-drug regimen for active tuberculosis. Isoniazid: A core component of TB treatment, isoniazid is effective against actively dividing Mycobacterium tuberculosis. It is typically given for at least 6 months. Airborne precautions: TB is transmitted through airborne droplets, necessitating airborne precautions such as an N95 mask, negative-pressure isolation, and limiting client transport. Rifampin: Another first-line anti-tuberculosis drug, rifampin works by inhibiting bacterial RNA synthesis and is a crucial part of combination therapy for TB. Contraindicated: Monthly TB skin test for 1 year: Once TB is confirmed via sputum culture and chest x-ray, repeated skin testing is unnecessary and would not provide additional diagnostic value.

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