Author Question: Which statement made by a patient indicates to the nurse the need for more teaching about first-line ... (Read 39 times)

jparksx · **on:** Jul 23, 2018

Which statement made by a patient indicates to the nurse the need for more teaching about first-line drug therapy for tuberculosis (TB)?

a. To prevent nausea and vomiting, I have been taking my drugs at night with a small snack.
b. I have stopped taking all herbal supplements and stopped drinking beer until I finish this drug therapy.
c. Now that my symptoms have disappeared after a month of drug therapy, I can no longer infect my family.
d. Now that my symptoms have disappeared after a month of drug therapy, I can stop taking all of these drugs.

Question 2

To prevent a common risk among older adults who are prescribed proton pump inhibitors, which safety precaution does the nurse recommend?

a. Be sure to take a daily multivitamin.
b. Use handrails when going up or down stairs.
c. Take this drug with food or a full glass of fluid.
d. Notify your prescriber if you develop belching or gas.

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

Answer to Question 1

D
Usually TB is no longer contagious and clinical improvement is seen after drugs have been taken for 2 to 3 consecutive weeks. However, the organism growth has only been suppressed and the immune system and drugs have not had sufficient time to eradicate it. Stopping treatment after only a month will allow the disease to again become active and the organisms can become resis-tant to these drugs. The patient must continue taking the drugs for 6 months or longer, exactly as prescribed.

Answer to Question 2

B
Proton pump inhibitors have been associated with increased hip fracture in older adults because of decreased calcium absorption. Teach patients to use side rails when going up or down stairs.