This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has been taking isoniazid Nydrazid for 4 months for latent tuberculosis. The patient ... (Read 64 times)

stock

  • Hero Member
  • *****
  • Posts: 573
on: Jul 23, 2018
A patient has been taking isoniazid Nydrazid for 4 months for latent tuberculosis. The patient reports bilateral tingling and numbness of the hands and feet, as well as feeling clumsy. The nurse expects the provider to:
 
  a. discontinue the isoniazid.
  b. lower the isoniazid dose and add rifampin.
  c. order pyridoxine 100 mg per day.
  d. recheck the tuberculin skin test to see whether it worsens.

Question 2

A patient with gout who has increasingly frequent acute gouty attacks will begin receiving allopurinol Zyloprim and colchicine. The nurse will include which statement when teaching the patient about this drug regimen?
 
  a. Allopurinol helps reduce the gastrointes-tinal side effects of colchicine.
  b. Allopurinol reduces the likelihood of gouty episodes that usually occur with initial colchicine therapy.
  c. The colchicine is given to enhance the effects of the allopurinol.
  d. You will take both drugs initially and then stop taking the colchicine.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Liddy

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Patients sometimes develop peripheral neuropathy, characterized by paresthesias, clumsiness, and muscle aches. If these occur, they may be reversed by administering pyridoxine (vitamin B6). It is not necessary to discontinue the isoniazid. Lowering the isoniazid dose and adding rifampin is not indicated. Rechecking the TST is not indicated.

Answer to Question 2

D
Colchicine is used for prophylaxis when urate-lowering drugs, such as allopurinol, are initiated, because gouty episodes have a tendency to increase during this time. Patients start with both drugs, and ultimately the colchicine is withdrawn. Allopurinol does not affect the GI side effects caused by colchicine. Allopurinol may precipitate an acute gouty attack when treatment is begun; colchicine is given to prevent a gouty episode. Colchicine does not enhance the effects of allopu-rinol.


stock

  • Member
  • Posts: 573
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

milbourne11

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Though “Krazy Glue” or “Super Glue” has the ability to seal small wounds, it is not recommended for this purpose since it contains many substances that should not enter the body through the skin, and may be harmful.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

The Centers for Disease Control and Prevention (CDC) was originally known as the Communicable Disease Center, which was formed to fight malaria. It was originally headquartered in Atlanta, Georgia, since the Southern states faced the worst threat from malaria.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Mycobacterium Tuberculosis Mycobacterium Tuberculosis
Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
Patient with typical rheumatoid arthritis contractures. Patient with typical rheumatoid arthritis contractures.
Effects of nursing rounds on patient safety Effects of nursing rounds on patient safety
The three stages we go through to develop the ability of taking the role of the other. The three stages we go through to develop the ability of taking the role of the other.
Patient health history form Cont. Patient health history form Cont.
Video: A timeline of the teeth (Explained - No Audio)

For a complete list of videos, visit our video library