A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the health care provider immediately?

The Mantoux tuberculin skin test (TST) or the TB blood test.

Explanation:

The Mantoux tuberculin skin test (TST) or the TB blood test can be used to test for M. tuberculosis infection. Further tests are required to confirm TB disease. The Mantoux tuberculin skin test is carried out by injecting a small amount of fluid called tuberculin into the skin in the lower part of the arm. The test is read within 48 to 72 hours by a trained health care worker, who looks for a reaction (induration) on the arm.

While the TB blood test measures the patient’s immune system reaction to M. tuberculosis.

A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria. It does not tell whether the person has latent TB infection (LTBI) or has progressed to TB disease. Other tests, such as a chest x-ray and a sample of sputum, are needed to see whether the person has TB disease.

The question is incomplete,below is the complete question.

A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the health care provider immediately?

A) Albumin: 5.1 g/dL

B) Alanine aminotransferase(ALT): 180 U/L

C) Red blood cell (RBC) count: 5.2/mm3

D) White blood cell (WBC) count: 12,500/mm3

The correct answer is option B

Alanine aminotransferase(ALT): 180 U/L

Explanation: One of the major side effects of Isoniazid administration is increase in Alanine aminotransferase(ALT) in the bloodstream which is as a result of damage or inflammation of liver cells, The normal level of Alanine aminotransferase(ALT) is 7-56 U/L, an Alanine aminotransferase(ALT) of 180U/L is a gross elevation from the normal value and as well a medical emergency which is why it is needed to be reported to the Healthcare provider immediately for proper medical attention/management to assess for liver damage and inflammation.

answer: the choice of providing direction for individualized care of a patient.   the care plans is a flow of communication and organizing the constantly changing of the care plan.  

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