Chapter 10

The nurse is teaching a client taking isoniazide. The client also suffers from occasional acid reflux. What should the nurse teach this client about? A. decreased effectiveness of the antacids B. increased effectiveness of the antacids C. decreased absorption of isoniazid D. increased absorption of isoniazid

C

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? A. a new mother who is nursing B. an obese 45 year old man C. a cancer client D. an HIV positive client

D

The nurse explains that prophylactic antitubercular therapy is suggested for which people? A. All clients older than 35 years of age with a positive skin test B. health care professionals emplyed in health insitutions C. clients whose tuberculin skin test has become positive in the last three years D. those who have been in close contact with a person with TB

D

The nurse understands that tuberculosis (TB) can affect other organs of the body. The term used for TB outside the lungs called which? A. interstitial B. extrapulmonary C. metastisized D. encapsulated

B

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? A. hematuria B. adverse reaction of INH C. interaction between INH and rifampin D. adverse effect of rifampin

D

A client is to receive rifampin. Which would be most important for the nurse to include in the teaching plan for this client? A. "Your urine or sweat may become orange in color." B. "The drug can cause an allergic reaction." C. "You might experience some nausea or stomach upset." D. "Call your health care provider if you experience headache or dizziness."

A

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? A. BUN and creatinine B. amylase and lipase C. red blood cells and white blood cells D. sodium and potassium

A

A nurse is caring for an older adult client with tuberculosis. The client has been prescribed ethambutol. Which adverse reactions of ethambutol should the nurse assess for? A. optic neuritis B. hypersensitivity C. epigastric distress D. vertigo

A

A nurse is providing education to a client who is taking INH. The nurse is teaching the client to avoid which foods? A. cheese, dairy products, and bananas B. potatoes and root vegetables C. citrus fruits D. chicken and fish

A

The nursing student is studying how tuberculosis (TB) is contracted and identifies the mode of transmission to be which? A. droplets B. person-to-person C. dust D. blood-borne

A

When providing health education to a client prescribed isoniazid, the nurse should emphasize the need to avoid what element? A. alcohol B. direct sunlight C. foods containing purines D. unpasteurized dairy products

A

A nurse is preparing a community teaching program about tuberculosis. When describing the individuals who are susceptible, who would the nurse include? Select all that apply. A. individuals living in crowded conditions B. individuals with HIV C. individuals less than 6 years of age D. individuals more than 30 years of age E. individuals with asthma

A, B

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? A. changes in his bowel elimination pattern B. numbness and tingling in his feet C. a slight decrease in his blood glucose levels D. a persistent cough since starting the medication

B

A client asks why three medications are prescribed to treat his tuberculosis. The nurse informs the client of which reasons? A. to prevent adverse reactions B. to prevent resistance C. to decrease length of drug therapy D. to decrease allergic response of medications

B

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? A. avoid excessive caffeine intake because this could increase the side effects of the medication B. do not drink beer or red wine while taking this medication because a serious adverse reaction can occur C. make sure to limit your protein intake, as increased protein delays absorption of the medication D. take the medication with a full glass of water to prevent the mouth from becoming dry during therapy

B

A nursing instructor is teaching about the tuberculosis (TB) drug pyrazinamide and informs students that the most severe adverse reaction to this drug is which of the following? A. myalgia B. hepatotoxicity C. rashes D. diarrhea

B

A nursing student is learning about the tuberculosis (TB) drug isoniazid. The student has learned to instruct clients taking this drug to refrain from drinking alcohol while taking isoniazid, for which reason? A. reduced absorption of isoniazid B. higher incidence of drug-related hepatitis C. increase blood levels of phenytoin D. increased risk for bleeding

B

After 3 weeks of drug therapy for TB, a client is not showing reduction of symptoms. Repeated lab work shows positive cultures. What issues should the nurse consider? (Select all that apply.) A. defective medication B. client noncompliance C. intermittent administration D. drug resistance

B, D