Chapter 23 - Tuberculosis

Question 1

A home health nurse is teaching a client who has active TB a it’s is following a medication regimen that includes a combination of isoniazid, rifampin, pyrazinamisem and ethambutol. Which of the following client statements indicate understanding? (Select all that apply)
A. I can substitute one medication for another if I run out because they all fight infection
B. I will wash my hands each time I cough
C. I will wear a mask when I am in a public area
D. I am glad I don’t have to have any more sputum specimens
E. I don’t need to worry where I go once I start taking my medications

Answer 1

B. I will wash my hands each time I cough

C. I will wear a mask when I am in a public area

Question 2

A nurse is teaching a client who has TB. Which of the following statements should the nurse include?
A. You will need to continue to take the multi medication regimen for 4 months
B. You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication
C. You will need to remain hospitalized for treatment
D. You will need to wear a mask at all times

Answer 2

B. You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication

Question 3

A nurse nurse is caring for a client who has a new diagnosis of TB and has been placed on mutimedication regimen. Which of the following instructions should the nurse give the client related to ethambutol?
A. Your urine can turn dark orange
B. Watch for a change in the sclera of your eyes
C. Watch for any changes in vision
D. Take vitamin B6 daily

Answer 3

C. Watch for any changes in vision

Question 4

A nurse is preparing to administer a new prescription for isoniazid (INH) to light skinned client who has TB. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
A. You might notice yellowing of your skin
B. You might experience pain in your joints
C. You might notice tingling of your hands
D. You might experience a loss of appetite

Answer 4

C. You might notice tingling of your hands

Question 5

A nurse is providing information about TB to a group of clients at a local community center. Which of the following manifestations should the nurse include? (Select all that apply) 
A. Persistent cough 
B. Weight gain 
C. Fatigue 
D. Night sweats
E. Purulent sputum

Answer 5

A. Persistent cough
C. Fatigue
D. Night sweats
E. Purulent sputum