NSG 320 Chapter 27 Antituberculars, Antifungals, & Antivirals

Which laboratory value(s) must be frequently monitored in the client taking fluconazole? (select all that apply) A. AST B. ALT C. BUN D. Glucose E. Potassium F. PT

A. AST B. ALT C. BUN E. Potassium

A client has been prescribed acyclovir. Which information should be part of the teaching plan for a client who has been prescribed acyclovir? (select all that apply) A. Be sure to drink plenty of water to maintain hydration B. Be sure to use spermicide to prevent infecting others C. Drug can be taken at mealtime D. Arise slowly because of the risk for orthostatic hypotension E. Report any decreased urinary output, dizziness, or confusion

A. Be sure to drink plenty of water to maintain hydration C. Drug can be taken at mealtime D. Arise slowly because of the risk for orthostatic hypotension E. Report any decreased urinary output, dizziness, or confusion

An immunocompromised client has recently been diagnosed with histoplasmosis. The client has been started on amphotericin B. The nurse will anticipate administering which drug to alleviate side effects? (select all that apply) A. Diphenhydramine B. Acetaminophen C. Diazepam D. Hydrocortisone

A. Diphenhydramine B. Acetaminophen D. Hydrocortisone

A patient has developed active tuberculosis and is prescribed isoniazid and rifampin. Which information will the nurse include in teaching the patient about taking this drug? (Select all that apply.) A. Isoniazid should be given 1 hour before or 2 hours after meals. B. Have periodic eye examinations as ordered by the health care provider. C. Compliance with drug regimen is essential. D. Report numbness, tingling, and burning of hands and feet. E. Warn patient that rifampin may turn body fluids a harmless green color.

A. Isoniazid should be given 1 hour before or 2 hours after meals. B. Have periodic eye examinations as ordered by the health care provider. C. Compliance with drug regimen is essential. D. Report numbness, tingling, and burning of hands and feet.

Which symptom(s) will the nurse advise the client taking peginterferon to report to the health care provider? (select all that apply) A. Mood changes B. Fever C. Vision Changes D. Photophobia E. Urinary urgency

A. Mood changes B. Fever C. Vision Changes

Which nursing intervention is the priority when a patient is receiving antiviral drugs? A. Promoting hydration B. Enhancing bowel function C. Increasing tidal volume D. Promoting circulation

A. Promoting hydration

Which priority health teaching would he nurse include for the client who has just started a course of isoniazid (INH)? (select all that apply) A. The patient may need to take vitamin B6 supplements B. Alcohol should be avoided C. Fluid intake should be restricted D. Body fluids including urine and tears may turn a brownish-orange color E. Daily weights should be monitored

A. The patient may need to take vitamin B6 supplements B. Alcohol should be avoided

When caring for a patient receiving amphotericin B, it is most important for the nurse to assess the patient for the development of A. hypokalemia. B. hypernatremia. C. hypocalcemia. D. hypermagnesemia.

A. hypokalemia.

Available: 100 mg Fluconazole Tablets USP The patient's prescription is for a maintenance dose of fluconazole, 150mg/day. How many tablets should the client take per dose? A. 1 tablet B. 1.5 tablet C. 2 tablets D. 2.5 tablets

B. 1.5 tablet

Which person should not receive prophylactic treatment for tuberculosis with isoniazid? A. 29-year-old concurrently taking theophylline B. 46-year-old with alcoholism C. 57-year-old with warfarin D. 65-year-old with Parkinsonism

B. 46-year-old with alcoholism

The 28-year-old client has been diagnosed with tuberculosis (TB) disease. The client weighs 80kg. Which dose of isoniazid (INH) would the nurse anticipate administering initially? A. 2mg/kg/day B. 5mg/kg/day C. 7.5mg/kg/day D. 10mg/kg/day

B. 5mg/kg/day

A client with coccidioidomycosis is in the intensive care unit and has been prescribed amphotericin B. Which administration instruction would the nurse anticipate? A. Dilute and infuse over 30 minutes while monitoring vital signs every 5 minutes B. Dilute, protect from light, and infuse slowly using an in-line filter C. Prepare to administer undiluted by intravenous push slowly over 15 minutes D. Prepare the drug in a solution and have a patient drink it slowly

B. Dilute, protect from light, and infuse slowly using an in-line filter

During the admission interview, which information will the nurse seek to obtain from a client taking isoniazid? (select all that apply) A. Blood glucose level B. Drug allergies C. History of tuberculosis exposure D. Date of last purified protein derivative (PPD) and chest x-ray

B. Drug allergies C. History of tuberculosis exposure D. Date of last purified protein derivative (PPD) and chest x-ray

Which outcome is a life-threatening adverse effect of isoniazid? A. Crystalluria B. Hepatotoxicity C. Ototoxicity D. Palpitations

B. Hepatotoxicity

Which instruction would rifampin be taken to decrease the incidence of resistance? A. Daily B. In conjunction with another anti-tubercular drug C. Once a week D. Only if patient is symptomatic

B. In conjunction with another anti-tubercular drug

An immunocompromised client has aspergillosis and has been prescribed amphotericin B. Which route will the nurse administer this drug? A. Intramuscularly B. Intervenously C. Orally D. Rectally

B. Intervenously

A middle-aged adult is diagnosed with tuberculosis. Which is true of treatment for this diagnosis? A. Treatment may take about 10 days to 2 weeks. B. Usually two to three agents are needed. C. The bacteria is usually resistant to treatment therapy. D. Treatment for tuberculosis is usually without side effects.

B. Usually two to three agents are needed.

A client is being treated with amphotericin B for histoplasmosis. Which statement by the client would be concerning to the nurse? A. "I know I can only get this drug by having an intravenous site." B. "This drug may make me feel flushed." C. "I should not eat for 12 hours before receiving this drug." D. "I should let my health care provider know if I am not urinating as much."

C. "I should not eat for 12 hours before receiving this drug."

Which teaching for the patient who is taking fluconazole is a priority for the nurse? A. Take concurrent vitamin B6 to prevent peripheral neuropathy. B. Take 1 hour before or 2 hours after meals. C. Advise that hypoglycemia may occur with concurrent oral sulfonylureas. D. Warn that gingival hyperplasia may occur with prolonged use.

C. Advise that hypoglycemia may occur with concurrent oral sulfonylureas.

A client with active tuberculosis (TB) is prescribed isoniazid (INH). The nurse will teach the client that frequent laboratory test to monitor liver function is needed for which reason? A. INH is excreted by the liver B. INH causes liver cancer C. INH can be hepatotoxic D. INH cannot be metabolized by patients who have liver disease

C. INH can be hepatotoxic

The client has just been prescribed isoniazid (INH) for active tuberculosis. Which drug taken by the client would be of concern to the nurse? A. Cetirizine B. Lisinopril C. Maalox D. Metformin

C. Maalox

The client has just started taking rifapentine for active tuberculosis. The nurse knows that this drug will be taken how often? A. Twice per day B. Daily C. Twice per week D. Every other day

C. Twice per week

When teaching a patient about isoniazid (INH) and rifampin drug therapy, which statement will the nurse include? A. "Take isoniazid with meals." B. "Double the amount of vitamin C in your diet to prevent the peripheral neuropathy associated with isoniazid therapy." C. "Notify the primary health care provider immediately if your urine turns a red-orange color." D. "Avoid exposure to direct sunlight."

D. "Avoid exposure to direct sunlight."

Which drug would be ordered for a client with hepatitis C viral infection? A. Acyclovir Sodium B. Amphotericin B C. Relenza D. Ribavirin

D. Ribavirin

A patient is diagnosed with a Candida infection in the mouth. The nurse anticipates that the patient will be treated with A. metronidazole. B. amphotericin B. C. isoniazid. D. nystatin.

D. nystatin.