NCLEX Pharma Ch 41 AntiTubercular

Which client statement indicates to the nurse that the client understands the discharge teaching for ethambutol (Myambutol)? A. "Constipation will be a problem, so I will increase the fiber in my diet." B. "Dizziness and drowsiness are common adverse effects with this drug." C. "I will need to have my vision checked periodically while I am taking this drug." D. "This medication may cause my bodily secretions to turn red-orange-brown."

C. "I will need to have my vision checked periodically while I am taking this drug."

What information should the nurse provide to a client prescribed rifampin (Rifadin)? A. Oral contraception is the preferred method of birth control when using rifampin. B. The patient will only need to take this medication for the prescribed 14-day period. C. A nonharmful adverse effect of this medication is red-orange discoloration of urine, sweat, tears, skin, salvia, and feces. D. Peripheral neuropathy is an expected side effect, and the patient should report any numbness or tingling of the extremities.

C. A nonharmful adverse effect of this medication is red-orange discoloration of urine, sweat, tears, skin, salvia, and feces.

Before discharge, the nurse is reviewing a client's prescribed medication regimen for tuberculosis (TB). The client asks the nurse why pyridoxine (vitamin B6) has been prescribed while continuing to take isoniazid (Nydrazid) to treat TB. What is the nurse's best response? A. "Multidrug therapy is necessary to prevent the occurrence of resistant bacteria." B. "You really should not be on that drug. I will check with the health care provider." C. "Pyridoxine is another antitubercular drug that will work synergistically with the isoniazid." D. "Pyridoxine will help prevent numbness, and tingling that can occur secondary to the isoniazid."

D. "Pyridoxine will help prevent numbness, and tingling that can occur secondary to the isoniazid."

When assessing for adverse effects to Rifamate (combination isoniazid and rifampin), the nurse would monitor which laboratory values? (Select all that apply.) A. Cholesterol B. Uric acid levels C. Sputum cultures D. Liver function tests E. Complete blood cell count

D. Liver function tests E. Complete blood cell count

The nurse anticipates a prescription for vitamin supplementation for a client who is receiving isoniazid (Nydrazid) therapy. What vitamin supplement is usually prescribed with isoniazid? A. Folate B. Calcium C. Vitamin E D. Vitamin B6

D. Vitamin B6

What instruction should the nurse include for a client prescribed rifampin (Rifadin) and isoniazid (Nydrazid) prophylactically secondary to TB exposure? A. Advise that these drugs will only need to be taken for 7 to 10 days. B. Remind that sunscreen is not needed during outdoor activities. C. Explain that isoniazid may decrease blood serum glucose in susceptible people. D. Emphasize that oral contraceptives become ineffective when given with rifampin.

D. Emphasize that oral contraceptives become ineffective when given with rifampin.