Week 9: Chapter 10 Study Guide

Question 1

S/E or A/E of: isoniazid (INH)

Answer 1

Peripheral neuropathy

Question 2

S/E or A/E of: rifampin (Rifadin, Rimactane)

Answer 2

Reddish-orange stain to secretions

Question 3

S/E or A/E of: pyrazinamide (PZA)

Answer 3

Increased uric acid formation

Question 4

S/E or A/E of: ethambutol (EMB, Myambutol)

Answer 4

Optic neuritis

Question 5

For ringworm of the scalp, children may be prescribed the drug: ________________.

Answer 5

terbinafine (Lamisil)

Question 6

A pt who is taking isoniazid should avoid _____________ to prevent hypertension.

Answer 6

Caffeine

Question 7

A pts skin and urine may be stained _______________ when taking rifampin.

Answer 7

Orange

Question 8

When taking a TB drug regimen, sever sunburn can be avoided by which measures:

Answer 8

Wearing protective clothing, a hat, and sunscreen.

Question 9

The risk for liver toxicity when taking first-line anti-TB drugs is higher in _______________ populations

Answer 9

Older adult / pregnant women

Question 10

A pt taking terbinafine (Lamisil) has a reduced WBC count and is at higher risk for ___________________.

Answer 10

Infection

Question 11

Important for pts to see an ophthalmologist while taking this drug:

Answer 11

ethambutol

Question 12

Can raise BP to dangerously high levels if taken with caffeine:

Answer 12

isoniazid

Question 13

Can cause breast tenderness in males:

Answer 13

isoniazid

Question 14

Teach pts that this drug colors the urine and other secretions reddish-orange:

Answer 14

rifampin

Question 15

Reduces the PH or intracellular fluid inside WBCs that are infected with TB bacillus:

Answer 15

pyrazinamide

Question 16

Can cause peripheral neuropathy, especially in pts who are malnourished:

Answer 16

isoniazid

Question 17

Should not be taken by infants and young children even when they have active TB:

Answer 17

ethambutol

Question 18

Is only bacteriostatic and must be used in combination with other anti-TB drugs to be effective:

Answer 18

ethambutol

Question 19

Increases muscle aches and pains:

Answer 19

pyrazinamide

Question 20

Increased sensitivity to sun and UV light:

Answer 20

pyrazinamide

Question 21

My cause loss of appetite, difficulty concentrating, and sore throat:

Answer 21

ethambutol

Question 22

Pregnant women need higher doses of B-complex vitamins while taking this drug:

Answer 22

insoniazid

Question 23

Trade or brand name: Ancobon

Answer 23

flucystosine

Question 24

Trade or brand name: Cancidas

Answer 24

caspofungin

Question 25

Trade or brand name: Diflucan

Answer 25

fluconazole

Question 26

Trade or brand name: Eraxis

Answer 26

anidulafungin

Question 27

Trade or brand name: Fungizone

Answer 27

amphotericin B

Question 28

Trade or brand name: Lamisil

Answer 28

terbinafine

Question 29

Trade or brand name: Mycamine

Answer 29

micafungin

Question 30

Trade or brand name: Nizoral

Answer 30

ketoconazole

Question 31

Trade or brand name: Noxafil

Answer 31

posaconazole

Question 32

Trade or brand name: Vfend

Answer 32

voriconazole

Question 33

An older adult who is taking an echinocandin is at increased risk for developing deep vein thrombosis. Which interventions can help prevent this?

Answer 33

``` Venous sequential compression device Range of motion exercises Ambulation Ace bandage wraps to legs Adequate fluid intake ```

Question 34

A pt says she stopped taking her medication to treat TB after a month, because she stopped coughing up blood. The pt should be instructed to continue taking the medication for how long?

Answer 34

At least 6 months

Question 35

A pt who is taking several first-line medications to treat TB says he likes to drink several cans of beer after work every night. He is advised to stop drinking to avoid which A/E?

Answer 35

Permanent liver damage and failure

Question 36

High doses of ethambutol (Myambutol) can cause optic neuritis. What visual changes might this include?

Answer 36

Reduced visual fields Reduced color vision Blurred vision

Question 37

Before administering rifampin (RIF) you should assess for an allergy to which substance?

Answer 37

Sulfites

Question 38

Which statement demonstrates that a patient understand the precautions necessary when taking rifampin (RIF) while on contraceptives?

Answer 38

I will use a second method until one month after I finish taking the rifampin

Question 39

First-line anti-TB drugs are indicated for which patient?

Answer 39

Pregnant female with active TB

Question 40

A pt with coccidioidomycosis has the antifungal drug amphotericin B (Fungizone) prescribed. Which are serious A/E to this medication?

Answer 40

Reduced kidney function Wide spread skin flushing Fever and chills

Question 41

Before administering an azole antifungal agent, what should the nurse plan to do?

Answer 41

Give the medication at a different time as a proton pump inhibitor

Question 42

Which patient teaching point is important to include for a pt taking ketoconazole (Nizoral)?

Answer 42

Wear protective clothing when in the sun

Question 43

A child with tinea capitis has been prescribed terbinafine (Lamisil). The child should have this medication administered in which manner?

Answer 43

Orally

Question 44

Which diet recommendation is most crucial to provide for a pt who is taking isoniazid to prevent peripheral neuropathy?

Answer 44

Increase the intake of B vitamins

Question 45

A pt who is rx amphotericin B is also rx IV corticosteroids to reduce which possible A/E?

Answer 45

Blood vessel dilation