CHP 43 504

c

A 35-year-old man is being treated with isoniazid (INH) for exposure to TB. He has the following medical history: diabetes mellitus type 2, hypertension, hyperlipidemia, and coronary artery disease. He drinks one to two glasses of wine on the weekend and smokes two packs of cigarettes per day. Which adverse reaction should the nurse alert the client to report to his physician right away? a) a slight decrease in his blood glucose levels b) a persistent cough since starting the medication c) numbness and tingling in his feet d) changes in his bowel elimination pattern Submit your answer

a

A client has been prescribed INH for the treatment of tuberculosis. The nurse teaches the client about dietary restrictions while taking this medication. What is the most important instruction to give the client about dietary restrictions? a) "Do not drink beer or red wine while taking this medication because a serious adverse reaction can occur." b) "Avoid excessive caffeine intake because this could increase the side effects of the medication." c) "Take the medication with a full glass of water to prevent the mouth from becoming dry during therapy." d) "Make sure to limit your protein intake, as increased protein delays absorption of the medication."

a

A client has been prescribed INH therapy for the treatment of latent tuberculosis. The client has a history of hypertension. The nurse informs the client not to eat cheese, dairy products, or bananas, or consume any foods or drinks containing caffeine. What is the best explanation the nurse can give the client about the effects of eating these foods while on INH? a) These foods can cause an unsafe increase in blood pressure. b) These foods can cause the medication to be toxic to your liver. c) These foods cause the medication to be less effective. d) These foods may cause a disturbance in your balance. Submit your answer

a

A major concern among public health authorities is an increase in drug-resistant TB infections. Traditionally, this has been attributed to patient lack of adherence to medication regimen. New evidence indicates that: a) Many drug-resistant infections are new infections, especially in those who are immunosuppressed. b) Client adherence is the only cause of drug-resistant TB infections. c) New cases of drug-resistant infections are decreasing. d) All TB infections are now drug-resistant.

c

A nurse is assigned to care for a patient with TB in a health care facility. The patient has been prescribed Pyrazinamide. The nurse knows that in which of the following cases is the use of isoniazid contraindicated? a) Patients with cataracts b) Patients younger than 13 years c) Patients with acute gout d) Patients with diabetic retinopathy

c

A patient being treated for tuberculosis is determined to be drug resistant. Which of the following medications will the patient be resistant to in the treatment of the tuberculosis? a) Dextroamphetamine (Dexedrine) and doxapram (Dopram) b) Carbamazepine (Tegretol) and phenytoin (Dilantin) c) Isoniazid (INH) and rifampin d) Propranolol (Inderal) and sotalol (Betapace)

b

A patient has just been diagnosed with tuberculosis (TB). The nurse can expect to start the patient on which of the following drugs for the initial phase of treatment? a) INH, streptomycin, pyrazinamide b) INH, rifampin, pyrazinamide, ethambutol c) INH, rifampin, streptomycin, ethambutol d) INH, streptomycin, and rifampin Submit your answer

a

A patient is administered isoniazid (INH) for latent tuberculosis. Which of the following factors will result in discontinuation of the medication? a) Jaundice b) Thrombus c) Fever d) Cachexia

c

A patient is administered rifampin (Rifadin). Which of the following factors should the patient be taught? a) When taking it with warfarin (Coumadin), an increased anticoagulant effect occurs. b) It decreases hepatic cytochrome P450 3A4 enzymes and decreases metabolism of drugs. c) The urine, tears, sweat, and other body fluids will be a discolored red-orange. d) It has an increased serum half-life, so it is more effective than rifabutin (Mycobutin).

a

A patient is admitted to hospice with the diagnosis of XDR-TB. Knowing some of the contributing factors to this disease, the nurse understands this disease is a major indication of: a) The failure to adequately diagnose, prevent, and treat MDR-TB. b) The failure to adequately treat immunosuppressive diseases. c) The failure to contact health authorities with diagnosis. d) The failure of the health system to do its job.

False

TB only affects lungs, T or F

a

The client is taking isoniazid (INH). It is important that the client understand INH can affect which vitamin? a) B6 b) B9 c) B2 d) B1

a

The nurse explains to the client that prophylactic antitubercular therapy is suggested for which of the following people? a) Those who have been in close contact with a person with tuberculosis (TB) b) All clients older than 35 years of age with a positive skin test c) Health care professionals employed in health institutions d) Clients whose tuberculin skin test has become positive in the last three years

a, d, e

The nurse monitors the older client for liver dysfunction when which of the following antitubercular medications are administered? (Select all that apply.) a) Cycloserine b) Rifampin c) Rifabutin d) Pyrazinamide e) Isoniazid

a

The nursing student read about a disease called Hansen's disease, which is caused by the bacterium Mycobacterium leprae and is treated with many of the same drugs as are used for TB. The student learned that another name for Hansen's disease is: a) leprosy. b) cytomegalovirus. c) listeriosis. d) cholera.

b, c

Tuberculosis caused by drug-resistant organisms should be considered in which clients? Select all that apply: a) Clients who smoke b) Clients who have no response to therapy c) Clients who have been treated in the past d) Clients who are HIV positive e) Clients who have asthma

b, d, e

Which of the antitubercular medications must be administered on an empty stomach? Select all that apply. a) Ethambutol b) Rifabutin c) Pyrazinamide d) Rifampin e) Isoniazid

c, e

Which of the following antitubercular drugs are used during the continuation treatment phase of tuberculosis? Select all that apply: a) Pyrazinamide b) Ciprofloxacin c) Isoniazid d) Ethambutol e) Rifampin

b

Which of the following is considered a secondary drug to treat tuberculosis? (Choose one) a) Ethambutol b) Ciprofloxacin c) Isoniazid d) Pyrazinamide

b, c, d, e

Which of the following is true of secondary drugs to treat tuberculosis TB? Select all that apply. a) Secondary drugs are used as the first line to treat HIV patients with TB. b) Secondary drugs are used to treat extrapulmonary TB. c) Secondary drugs are used to treat drug-resistant TB. d) Secondary drugs are more toxic than primary drugs. e) Secondary drugs are less effective than primary drugs. Submit your answer

c

he nurse is working with the family of a patient who has just been diagnosed with active tuberculosis (TB). Which instructions would you expect the nurse to give this family? a) You will have to take a combination of 3 drugs for 6 to 12 months to protect you from TB. b) You will have to take rifampin for 1 year to protect you from TB. c) You will have to take isoniazid for 6 to 12 months to protect you from TB. d) You will have to take streptomycin for 12 months to protect you from TB. Submit your answer