Pharmacology - Chapter 10

A nurse is providing education to a patient who is taking INH. The nurse will advise the patient to avoid which of the following foods? pg 105

Cheese, dairy products, and bananas

Which of the following is considered a secondary drug to treat tuberculosis? pg 103

Ciprofloxacin

The nurse understands that when a client is taking isoniazid and antacids together which of the following may occur? pg 105

Decreased absorption of isoniazid

The nursing student is studying how tuberculosis (TB) is contracted. The nurse correclty identifies the mode of transmission to be which of the following? pg 103

Droplets

A patient is hospitalized with active tuberculosis. The patient is receiving antitubercular drug therapy and is not responding to the medications. What do you suspect the patient is suffering from? pg 105

Drug-resistant tuberculosis

The nursing instructor is teaching students about drug regimens for tuberculosis (TB). He instructs them on the different prophylactic uses of isoniazid (INH), which include? (Select all that apply.) pg 103

Household members of those recently diagnosed with TB Those whose tuberculin skin test result has become positive in the last 2 years Those at risk for TB (such as those with Hodgkin's disease, leukemia, and other serious illnesses) All patients younger than 35 years with a positive skin test

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? pg 103

INH, rifampin, pyrazinamide, ethambutol

A patient with gout has just been diagnosed with active tuberculosis (TB). What is important for the nurse practitioner to consider when prescribing medication for this patient? pg 106

If pyrazinamide is administered with antigout medications, its effectiveness decreases.

Gary is a construction worker who is diagnosed with leprosy and is prescribed rifampin. Gary is married, an alcoholic, and wears contact lenses. At the time of initiating the therapy, what should the nurse instruct the patient about the drug therapy? pg 106

Inform him that he should wear glasses during the therapy.

The student nurse is trying to learn the differences in antitubercular drugs and correctly identifies which of the following to be completely bactericidal? pg 103

Isoniazid

When a person is diagnosed with tuberculosis, family members may be treated prophylactically with which antitubercular drug? pg 103

Isoniazid (Nydrazid)

A nurse teaching the patient with tuberculosis (TB) should include the following information about ethambutol: pg 105

It can cause optic neuritis

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? pg 105

Numbness and tingling in his feet

A nurse is assigned to care for a patient with TB who has been prescribed rifampin. Which of the following should the nurse ensure to confirm that rifampin is not contraindicated in the patient? pg 106

Patient does not have renal impairment

After 3 weeks of drug therapy for TB, a patient is not showing reduction of symptoms. Repeated lab work shows positive cultures. What issues should the nurse consider? (Select all that apply.) pg 105

Patient noncompliance Drug resistance

While discussing tuberculosis, the nursing instructor explains that treatment is typically divided into two phases. What is the second phase called? pg 103

The continuation phase

A patient is administered rifampin (Rifadin). Which of the following factors should the patient be taught? pg 106

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

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? pg 105

These foods can cause an unsafe increase in blood pressure.

The nurse explains to the client that prophylactic antitubercular therapy is suggested for which of the following people? pg 103

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

A client asks the purpose for using three medications in combination to treat his tuberculosis. The nurse informs the client that multiple medications are given for which of the following reasons? pg 105

To prevent resistance

Active tuberculosis (TB) may be difficult to diagnose in patients infected with HIV because of their immune system deficiency. Which of the following can be used to determine if an HIV patient with a negative skin test has active TB? (Select all that apply) pg 106

X-ray studies Sputum analyses Physical examinations

A homeless client presented at a street clinic with reports of hemoptysis and subsequently tested positive for TB. Which characteristics of the client's present circumstances would preclude treatment with INH? pg 105

an alcoholic who has hepatitis C (HCV)

A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that pg 106

body fluids such as urine, saliva, tears, and sputum may become discolored.

When administering a secondary drug to a patient with tuberculosis (TB), the nurse is treating which type of TB? pg 103

extrapulmonary TB

A patient newly diagnosed with tuberculosis (TB) asks the nurse if medications will make him better. The nurse informs the patient that sometimes treatment fails and why this happens. Which of the following are reasons for treatment failure? (Select all that apply.) pg 105

inadequate initial drug treatment noncompliance with the therapeutic regimen

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? pg 105

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

A patient 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. pg 105

3

Tuberculosis (TB) affects only the lungs. True or false? pg 104

False

A patient is hospitalized due to noncompliance with an antitubercular drug treatment. Which of the following is most important for the nurse to do? pg 108

Observe the patient taking the medications

Your newest admission presents with persistent cough, weight loss, anorexia, and night sweats. What would you, as the nurse, expect for the physician to order? Select all that apply. pg 103-104

Skin test Chest radiograph

The nurse understands that which of the following is the highest priority when teaching about antitubercular medications? pg 108

Taking medications as prescribed

A nurse is caring for a patient with HIV who is suspected to also have tuberculosis (TB). Which of the following is true about patients with HIV and TB?

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

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:

leprosy

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? pg 103

primary and secondary

The patient who has been on a drug regimen for tuberculosis (TB) for the last 2 months says he has lost his appetite and 10 pounds in the last 2 months. What drug should the nurse suggest to the physician for this patient to help in the area of nutrition? pg 107

pyridoxine

A student nurse needs further explanation about tuberculosis (TB) when making the following statement: pg 103

"TB can be cured by antitubercular drugs."

A patient is to receive rifampin. Which of the following would be most important for the nurse to include in the teaching plan for this patient? pg 106

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

How many phases are involved in the standard treatment of tuberculosis (TB)? pg 103

2

A nurse is caring for a 39-year-old client who is taking INH, rifampin, and pyrazinamide. The client reports that her urine is red. What is the most likely cause of this discoloration? pg 106

Adverse effect of rifampin

A nurse is caring for a 39-year-old client who is taking INH, rifampin, and pyrazinamide. The client reports that her urine is red. What is the most likely cause of this discoloration? pg 106

Adverse effet of rifampin

A nurse works in a community setting and follows patients who have TB. Which of the following patients would likely require the most follow-up from rifampin therapy? pg 106

An HIV - positive patient

The client is taking isoniazid (INH). It is important that the client understand INH can affect which vitamin? pg 109

B6

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? pg 110

BUN and creatinine