Author Question: The nurse is teaching a patient about rifampin. Which statement by the patient indicates ... (Read 32 times)

sam.t96 · **on:** Jul 23, 2018

The nurse is teaching a patient about rifampin. Which statement by the patient indicates understanding of the teaching?

a. I should not wear soft contact lenses while taking rifampin.
b. I will need regular eye examinations while taking this drug.
c. I will report orange urine to my provider immediately.
d. I understand that renal toxicity is a common adverse effect.

Question 2

A patient who is taking isoniazid (INH) as part of a two-drug tuberculosis treatment regimen reports tingling of the fingers and toes. The nurse will recommend discussing which treatment with the provider?

a. Adding pyrazinamide
b. Changing to ethambutol
c. Increasing oral fluid intake
d. Taking pyridoxine (B6)

randomguy133 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Patients taking rifampin should be warned that urine, feces, saliva, sputum, sweat, and tears may turn a harmless red-orange color. Patients should not wear soft contact lenses to avoid permanent staining. Regular eye exams are necessary for patients who receive isoniazid and ethambutol. Orange urine is a harmless side effect and does not need to be reported. Renal toxicity is not common with rifampin.

Answer to Question 2

ANS: D
Peripheral neuropathy is an adverse reaction to INH, so pyridoxine is usually given to prevent this. It is not necessary to change medications. Increasing fluids will not help with this.