Author Question: The nurse is caring for a patient starting INH for latent tuberculosis. Which clinical ... (Read 40 times)

09madisonrousseau09 · **on:** Jul 23, 2018

The nurse is caring for a patient starting INH for latent tuberculosis. Which clinical manifesta-tions would most concern the nurse?

a. Cramps in the back when walking up steps
b. Headaches and lightheadedness on awakening
c. Dry mouth and difficulty swallowing solids
d. Difficulty buttoning shirts

Question 2

The nurse is providing education to a group of postmenopausal women on all aspects of hormone therapy.

To evaluate understanding among the group, the nurse asks, Which of the following symptoms should you report to your health care provider after beginning hormone therapy? The correct response is a. breast tenderness.
b. weight gain.
c. increased appetite.
d. dysfunctional uterine bleeding.

bdobbins · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Difficulty buttoning shirts would most concern the nurse, because this may indicate neuropathy. Dose-related peripheral neuropathy is the most common adverse effect of INH therapy. The pa-tient may experience numbness, burning, or tingling in the hands and feet.
Cramps in the back do not indicate neuropathy.
Headaches and lightheadedness on awakening are not associated with INH administration even over longer periods of time.
Dry mouth and difficulty swallow are not consistent with neuropathy.

Answer to Question 2

D
Dysfunctional uterine bleeding should be reported, because it is not associated with hormone therapy.
Breast tenderness, weight gain, and increased appetite are expected effects of hormone therapy.