An older adult patient who has tuberculosis is being treated with ...

[rl]

An older adult patient who has tuberculosis is being treated with the drugs isoniazid 300 mg daily, rifampin 600 mg daily, and pyrazinamide 1500 mg daily. The nurse stresses the importance that the patient
 
  a. wear tinted glasses when out in the sun.
  b. minimize contact with children younger than 3 years old.
  c. avoid alcohol while on the drug therapy.
  d. eat and drink dairy sparingly.

Question 2

The family members of a dying patient are distressed at the patient's restlessness and lack of sleep. They ask the nurse to just give her something. What response by the nurse is best?
 
  a. Administer a sedative or hypnotic.
  b. Tell the family she'll soon be sleeping enough.
  c. Try nonpharmacologic comfort measures.
  d. Explain that medications are not used in this case.

[aprice35067]

Answer to Question 1

C
Patients should not drink alcohol while taking isoniazid. The other recommendations are incor-rect.

Answer to Question 2

C
Nonpharmacologic comfort measures should be implemented first because of the erratic phar-macokinetics seen at the end of life. Drug responses and side effects vary widely and are difficult to control. If nonpharmacologic measures do not work, medications can be tried but must be monitored continuously.

[rl]

Excellent

[Kedrick2014]

Gracias!