Chapter 24 (3) Flashcards
Which person should be treated with prophylactic antitubercular medication?
A patient who has close contact with someone who has tuberculosis
A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB). The nurse will counsel this patient to contact the provider to discuss:
a TB skin test
A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse will explain that multi-drug therapy is used to reduce the likelihood of:
drug resistance
A patient is being treated with isoniazid (INH), rifampin, and pyrazinamide in phase I of treatment for tuberculosis. The organism develops resistance to isoniazid. Which drug will the nurse anticipate the provider will order to replace the isoniazid?
Ethambutol (Myambutol)
The nurse is caring for a patient who is diagnosed with tuberculosis. The patient tells the nurse that the provider
plans to order a prophylactic antitubercular drug for family members and asks which drug will be ordered. The nurse will expect the provider to order which drug?
Isoniazid (INH)
The nurse caring for a patient who has tuberculosis and who is taking isoniazid, rifampin, and streptomycin reviews the medical record and notes the patients sputum cultures reveal resistance to streptomycin. The nurse will anticipate that the provider will take which action?
Change the streptomycin to kanamycin
A patient who is taking isoniazid (INH) as part of a two-drug tuberculosis treatment regimen reports tingling of the fingers and toes. The nurse will recommend discussing which treatment with the provider?
Taking pyridoxine (B6)
The nurse is teaching a patient about rifampin. Which statement by the patient indicates understanding of the
teaching?
I should not wear soft contact lenses while taking rifampin
A patient who has completed the first phase of a three-drug regimen for tuberculosis has a positive sputum acid bacilli test. The nurse will tell the patient that:
it may be another month before this test is negative
The nurse is teaching a nursing student about the antifungal drug amphotericin B. Which statement by the student indicates a need for further teaching?
Amphotericin B may be given intravenously or by mouth.
A patient who has oral candidiasis will begin using nystatin suspension to treat the infection. What information will the nurse include when teaching this patient?
Swish the liquid in your mouth and then swallow after a few minutes.
A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis. Before administering this medication, the nurse will review which laboratory values in the patients medical record?
Blood urea nitrogen (BUN) and creatinine
The nurse is preparing to administer an intravenous polymyxin antibiotic. The patient reports dizziness along with numbness and tingling of the hands and feet. The nurse will perform which action?
Hold the drug and notify the provider of these adverse reactions
A young adult female who is taking metronidazole (Flagyl) to treat trichomoniasis calls the nurse to report severe headache, flushing, palpitations, cramping, and nausea. What will the nurse do next?
Ask about alcohol consumption
A patient who is taking metronidazole (Flagyl) reports reddish-brown urine. Which action will the nurse take?
Reassure the patient that this is a harmless effect
