TB

Question 1

What is the action of INH (Isoniazid)?

Answer 1

Kill actively growing mycobacteria and inhibits growth of dormant bacteria

Question 2

What do you teach a patient taking INH?

Answer 2

Do not drink alcohol as it can cause liver damage

Question 3

What is the action of RIF (Rifeampin)?

Answer 3

Kills slower growing organisms

Question 4

What the teach a patient while taking RIF? 3

Answer 4

-Teach pt bodily fluids will be reddish orange tinted.
-Teach females to use a barrier method when having sex for at least 1 mont after stopped (oral contraception & additional method)
-Avoid drinking alcohol, could cause liver damage
-Report darkening of urine, or jaundice coloring.
-Increased bleeding and bruising

Question 5

What does unusual bleeding, brushing, darkening or urine, and jaundiced or the eyes and skin indicate?

Answer 5

Liver toxicity or failure

Question 6

What is the action of PZA (Pyrazinamide)

Answer 6

Kills organisms residing in the acidic environment of macrophages

Question 7

What do you remind the pt of when taking PZA

Answer 7

-Teach the pt to drink at least 8 ounces of water when taking med
-Wear protective clothing in sunlight (photosensitivity)
-Avoid the use of alcohol

Question 8

What is the action of EMB (Ethambutol)

Answer 8

Inhibits the bacterial RNA synthesis, suppressing growth

Question 9

What the remind pt of when taking EMB?

Answer 9

-Avoid alcohol when taking
-Report any vision changes immediately
-Drink at least 8 ounces of water and increase water intake

Question 10

What is TB?

Answer 10

A highly communicable disease caused by mycobacterium tuberculosis

Question 11

How is TB transmitted?

Answer 11

Airborne
-Coughing, sneezing, talking

Question 12

What is the rod shapes bacteria infected with TB?

Answer 12

Bacillus

Question 13

What happens to lymph nodes with TB?

Answer 13

Infected and enlarged

Question 14

What is secondary TB?

Answer 14

A deactivation of a previously infection person who is with a weakened immune system

Ex-HIV, Cancer

Question 15

What is the site of infection at and what is it called with secondary TB?

Answer 15

SIMON’s FOCI and in upper lobes

Question 16

TB
RISK

Abbreviations?

Answer 16

T-tight living quarters
B-below poverty
R-refugees
I-immune compromised
S-substance abuse
K-kids under 5

Question 17

FUCHSIN - Signs and symptoms

Abbreviation meaning?

Answer 17

F-Fatigue and fever
U-unusual weight loss
C-cough and chills
H-hemoptysis
S-sob
I-irregular periods
N-night sweats/nausea

Question 18

What is AFB?

Answer 18

Acid fast bacilli

Question 19

What will you expect to hear on percussion of a pt with TB?
What lung sounds will you hear?

Answer 19

-Dullness on percussion over lung fields.

-Crackles

Question 20

What is the ppd test called?

Answer 20

Mantoux test

Question 21

What indicates a positive TB test in a normal person?
Positive TB in HIV pt?

Answer 21

> 10mm
5mm

Question 22

What kind of therapy with a pt taking medication for TB have?

Answer 22

Directly observed by therapy

Question 23

What is the first line of drug therapy with TB?
What med will be added for the first 2 months?

Answer 23

Initial-INF and RIF
Added-PZA

Question 24

What is critical for the survival and cure to extensively drug resistant TB?

Answer 24

Absolute adherence to drug therapy

Question 25

As a nurse what do you teach a pt with TB?

Answer 25

-Drug therapy adherence
-When to take meds
-Infection control
-Importance of not skipping a dose
-Well balanced diet (iron, vitamin b and c, protein.

Question 26

After how many consecutive sputum cultures will the pt not be considered infectious and be able to return to work?

Answer 26

3 negative sputum cultures

Question 27

What kind of room does a pt with TB need to be placed in?

Answer 27

Negative pressure room