Chapter 10: antitubercular drugs

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

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

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, bananas

A client diagnosed with human immunodeficiency virus (HIV) has been infected with Mycobacterium avium complex (MAC) from an indoor pool. Which medication is the recommended treatment for this infection? Select all that apply.

Clarithromycin; Rifabutin; Rifampin

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

Client noncompliance; Drug resistance

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 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

A client who was frequently homeless over the past several years has begun a drug regimen consisting solely of isoniazid (INH). What is this client's most likely diagnosis?

Latent tuberculosis

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 which?

Leprosy

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 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 nurse is caring for an older adult client with tuberculosis. The client has been prescribeambutol. Which adverse reactions of ethambutol should the nurse assess for?

Optic neuritis

The health care industry is aware that tuberculosis (TB) is on the rise worldwide. Which populations is at risk for TB? Select all that apply.

People living in crowded conditions; people who are immunocompromised; people with debilitative conditions; people with HIV

A male client who has been on a drug regimen for tuberculosis (TB) for the last 2 months says he has lost his appetite and 10 pounds. What should the nurse suggest to the health care provider for this client to help in the area of nutrition?

Pyridoxine

A client with a diagnosis of rhinosinusitis has been prescribed ciprofloxacin 250 mg SC b.i.d. When contacting the prescriber, the nurse should question the:

Route

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 has been prescribed INH therapy for the treatment of latent tuberculosis. The client has a history of hypertension. The nurse teaches the client not to eat dairy products, bananas, or consume caffeine. What is the best explanation the nurse can give the client?

These foods can cause an unsafe increase in blood pressure.

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

To prevent resistance

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."

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

extrapulmonary