Author Question: The client recently diagnosed with tuberculosis asks the nurse why so many different pills are ... (Read 198 times)

crobinson2013 · **on:** Jul 23, 2018

The client recently diagnosed with tuberculosis asks the nurse why so many different pills are required to treat the infection. The nurse bases the response on the knowledge that:

1. Treatment is a trial-and-error process, and it will take 14 days for the appropriate drug to be identified.
2. Mycobacteria grow slowly and often develop resistance during the course of treatment.
3. It is difficult for a single drug to break down the cysts that are formed by the tubercle.
4. The client might have a genetic difference that requires multiple dosing.

Question 2

The client recently diagnosed with tuberculosis asks the nurse why family members also will be treated. On what facts does the nurse base the response?

1. The medication for the family is preventative.
2. Smaller doses now will prevent side effects should they need the medication in larger doses later.
3. The medication will increase the family members' immune response.
4. The family members will get the disease, and treatment must begin early.

cupcake16 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Treatment is not identified through trial and error.
Rationale 2: Mycobacteria grow slowly and often develop resistance during the course of treatment.
Rationale 3: Although it is difficult to attack the tubercle, this is not why several drugs are used.
Rationale 4: Genetics do not play a role in medication identification.
Global Rationale: Combination drug therapy is necessary because mycobacteria grow slowly and often develop resistance during the course of treatment. Therapy is not trial and error nor do genetics play a role in which medication is used. The tubercle is difficult to attack, but this does not explain why several different drugs are used.

Answer to Question 2

Correct Answer: 1
Rationale 1: Prophylactic treatment of family members can prevent the development of the disease in family members.
Rationale 2: Smaller doses are not administered; a routine dose is.
Rationale 3: These medications do not stimulate the immune response.
Rationale 4: It is not certain that family members will acquire the disease.
Global Rationale: Prophylactic treatment of family members can prevent the development of the disease in family members. The routine dose is administered, immune response is not stimulated, and it is uncertain if exposure will result in family members contracting the disease.