NUR 3420 Pharmacology PrepU Ch22

Which of the following are considered primary drugs to treat tuberculosis? Select all that apply:

Ethambutol (Myambutol) Isoniazid (Nydrazid) Rifampin (Rifadin)

A major concern among public health authorities is an increase in drug-resistant TB infections. What is new evidence suggesting a possible cause for this resistant tendency?

Many drug-resistant infections are new infections, especially in those who are

An HIV-positive patient is in a continuing phase of TB. The patient has completed the initial phase of the treatment program. In the continuing phase, the patient has shown no positive sputum results for six months. The nurse knows that under what circumstances does the treatment in the second phase last for four months or more?

Positive sputum culture after the completion of initial treatment

A nurse is caring for a client with HIV who is suspected to have tuberculosis (TB). Which is true about clients with HIV and TB?

The skin test may not show a reaction even though the disease is present.

The nurse explains that prophylactic antitubercular therapy is suggested for which people?

Those who have been in close contact with a person with tuberculosis (TB)

A client asks why three medications are prescribed to treat his tuberculosis. The nurse informs the client of which reasons?

To prevent resistance

When providing health education to a client prescribed isoniazid, the nurse should emphasize the need to avoid what element?

alcohol

A 49-year-old client is diagnosed with TB. The client has a history of alcoholism but has been sober for 3 months now. The client has been prescribed INH. What should the nurse ensure is obtained before initiating the therapy?

baseline liver function test values

Tuberculosis (TB) bacteria is only found in the lungs

false

A 35-year-old man being treated with isoniazid (INH) for exposure to TB has this 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 health care provider right away?

numbness and tingling in his feet

A nursing student studying pharmacology is focusing on drugs used to treat tuberculosis (TB). This student correctly identifies the classifications of antitubercular drugs as which of the following?

primary and secondary

A combinatin therapy for medical treatment for tuberculosis (TB) is preferred over single medication therapy?

true

The client reports cough, low-grade fever, anorexia, and night sweats. The client has also been coughing up blood at times. What disease does this client most likely have?

tuberculosis

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?

"Do not drink beer or red wine while taking this medication because a serious adverse reaction can occur."

A middle-aged client with a complex history has begun multidrug treatment for TB. Which assessment question is most therapeutic?

"What kinds of routines would work for you to ensure that you don't miss doses of your rifampin?"

A client has just been diagnosed with TB. The client is extremely upset and is asking questions concerning the medications. What is an appropriate response by the nurse?

"You will have multidrug therapy for 6 to 24 months."

A client is to receive rifampin. Which would be most important for the nurse to include in the teaching plan for this client?

"Your urine or sweat may become orange in color."

The health care provider is preparing to order rifampin and pyrazinamide for a female client with active tuberculosis. What question should the provider ask this client before confirming this order?

"are you pregnant?"

Tuberculosis caused by drug-resistant organisms should be considered in which clients? Select all that apply:

- Clients who have no response to therapy - Clients who have been treated in the pas

A nurse works in a community setting and follows clients who have TB. Which clients would likely require the most follow-up from rifampin therapy?

An HIV-positive client