Chapter 10 anti-tubercular drugs
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 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."
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
The client is taking isoniazid (INH). The nurses is teaching the client the importance of understanding that INH can affect which vitamin?
B6
The nurse is teaching a client taking isoniazid. The client also suffers from occasional acid reflux. What should the nurse teach this client about?
Decreased absorption of isoniazid
A client with TB is prescribed pyrazinamide. The nurse should assess and monitor for which of the following adverse reactions of pyrazinamide in the client?
Diarrhea
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
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 diagnosed with tuberculosis was prescribed antitubercular therapy but stopped after 1 month because of difficulty with the medication scheduling. As a result, secondary drugs are being prescribed. Which nursing diagnosis would the nurse identify?
Ineffective Self-Health Management
Which antitubercular medications must be administered on an empty stomach?
Isoniazid Rifampin Rifabutin
TB is an infectious disease caused by
Mycobacterium 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
The nurse monitors the older client for liver dysfunction following which antitubercular medications? Select all that apply.
Rifampin Pyrazinamide Isoniazid
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 asks why three medications are prescribed to treat his tuberculosis. The nurse informs the client of which reasons?
To prevent resistance
A nurse is caring for a 61-year-old client whose health care provider has ordered 2200 mg of ethambutol daily. The recommended dose for ethambutol is 15-25 mg/kg/day. The client weighs 90 kg. Based on dosage calculation, the prescribed dose is:
at the high end of the recommended range
DOT
directly observed therapy
With prolonged treatment for tuberculosis (TB), many clients become noncompliant with their drug regimen. Therefore, the nurse may arrange "DOT" for the client, which stands for:
directly observed therapy.
The nurse understands that tuberculosis (TB) can affect other organs of the body. The term used for TB outside the lungs called which?
extrapulmonary
When administering a secondary drug to a person with tuberculosis (TB), the nurse is treating which type of TB?
extrapulmonary TB
A group of nursing students are reviewing information about the transmission of tuberculosis. The students demonstrate understanding when they state transmission occurs from person to person in which manner?
inhalation of infected aerosolized droplets
A client taking isoniazid is worried about the side effects/adverse reactions. The nurse tells the client that a common adverse reaction of isoniazid is which of the following?
jaundice
The nurse is assessing a client who has been prescribed treatment with isoniazid. What assessment finding would most likely necessitate contacting the health care provider to recommend discontinuing treatment?
jaundice
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 female client has been diagnosed with tuberculosis and has been prescribed rifampin 600 mg PO daily. What health education should the nurse prioritize?
the need to increase fluid intake, even if the client feels nauseated
A client asks why three medications are prescribed to treat his tuberculosis. The nurse informs the client of which reasons?
to prevent resistance
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
