Pharm ch 10 antitubercular drugs: prep u, quizletA, vocab

A nurse is providing education to a client who is taking INH. The nurse is teaching the client to avoid which foods?

Cheese, dairy products, and bananas

The nurse is caring for a client receiving an antimycobacterial who reports dizziness, headache, and drowsiness. What nursing diagnosis is most likely to relate to this client's adverse drug effects?

Disturbed sensory perception (kinesthetic) related to central nervous system (CNS) effects of the drug

The nursing student is studying how tuberculosis (TB) is contracted and identifies the mode of transmission to be which?

Droplets

A client, hospitalized with active tuberculosis, is receiving antitubercular drug therapy. When it becomes apparent that the client is not responding to the medications, what condition will the primary health care provider identify as a possible cause?

Drug-resistant tuberculosis

A client is hospitalized due to nonadherence to an antitubercular drug treatment for a diagnosis of tuberculosis (TB). Which intervention is most important for the nurse to implement?

Observing the client taking the medications

A client is prescribed rifampin. What information should the nurse include in the client's medication education?

The urine, tears, sweat, and other body fluids will be a discolored red-orange.

A client with a diagnosis of human immunodeficiency virus (HIV) has just been diagnosed with Mycobacterium avium complex (MAC) disease. The nurse should anticipate including what information when educating the client regarding the prescribed therapy? Select all that apply.

There is a once-daily dose of clarithromycin. A 600-mg dose of azithromycin will be prescribed. The therapy may include a prescription for rifabutin.

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

To prevent resistance

Prior to the administration of antitubercular medications, the nurse anticipates which of the following studies to be completed?

X-ray Culture and sensitivity Complete blood count Positive sputum culture

gout

a metabolic disorder resulting in increased levels of uric acid and causing severe joint pain

uses

active TB

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

alcohol

Mycobacterium tuberculosis

bacterium that causes TB

Mycobacterium leprae

bacterium that causes leprosy (Hansen disease), which is a chronic, communicable disease infrequently seen in the United States

Multidrug-resistant M. tuberculosis (MDR-TB)

bacterium that is resistant to a number of different drugs; becomes costly to treat

A nurse teaching the client with tuberculosis (TB) should state that ethambutol can:

cause optic neuritis.

directly observed therapy (DOT)

drug dose taken in front of the administrator

When administering a secondary drug to a person with tuberculosis (TB), the nurse is treating which type of TB?

extrapulmonary TB

The nurse understands that tuberculosis (TB) can affect other organs of the body. The term used for TB outside the lungs called which?

extrapulmonary.

vertigo

feeling of a spinning or rotational motion; dizziness

latent TB

inactive M. tuberculosis bacterium in the body, which is alive, but noninfectious and can become active later

optic neuritis

inflammation of the optic nerve, causing a decrease in visual acuity and changes in color perception

During treatment with isoniazid, the nurse should plan to meet a specific need by providing the client with what supplement?

liver enzymes

MDR-TB

multi-drug resistant TB

latent TB

not infectious

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 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

people with ____ are at greater risk for TB

HIV

The nurse understands that which is the highest priority when teaching about antitubercular medications?

Taking medications as prescribed

standard treatment

initial phase

What adverse effect would most likely necessitate discontinuing treatment with isoniazid?

jaundice

most serious side effect

liver dysfunction

peripheral neuropathy

numbness and tingling of the extremities

extrapulmonary

occurring outside of the lungs in the respiratory system

drugs

rifampin (rifadin)

retreatment lasts for :

up to 24 months

retreatment

use of 4 or more drugs

A client diagnosed with tuberculosis (TB) has begun multidrug therapy. The client has asked the nurse why it is necessary to take several different drugs. How should the nurse respond to the client's question?

"The use of multiple drugs prevents the development of drug-resistant TB."

actions

-bacteriostatic-inhibit cell wall synthesis, slowing multiplication

assessment

-family history of TB -vitals

drug interactions

-heartburn -drowsiness -epigastric distress -hematologic changes -rash -body fluid discoloration

precautions

-hypersensitivity -renal impairment -hearing impairment pregnancy/lactation

Extrapulmonary TB

-outside the lungs -affects other organs

A client has been prescribed 2 tablets of 150 mg isoniazid every day. The available drug is in the form of a 100-mg tablet. To meet the recommended dose, the nurse will administer _______ tablets each time.

3

preventative therapy lasts for :

6-12 months

standard treatment lasts for :

6-9 months

A client with a positive sputum culture for TB has been started on streptomycin antitubercular therapy. Upon review of the laboratory results, the nurse notes that the client may be experiencing toxicity if which of the following results is abnormal?

BUN and creatinine