Author Question: A patient diagnosed with tuberculosis is prescribed ethambutol (EMB). Prior to initiating this ... (Read 72 times)

rmenurse · **on:** Jun 25, 2018

A patient diagnosed with tuberculosis is prescribed ethambutol (EMB). Prior to initiating this medication, what should the nurse instruct the patient?

1. Avoid this medication if allergic to eggs.
2. Have a baseline visual exam.
3. Have an influenza (flu) vaccination.
4. Have a baseline ECG (electrocardiogram).

Question 2

The nurse is teaching a patient prescribed isoniazid (INH). Select the patient statement that indicates a need for further medication instruction.

1. I will take the INH immediately after eating breakfast.
2. I will make sure I tell all my healthcare providers that I am taking INH.
3. Although I love beer, I will give it up while taking this medication.
4. I will make sure I get my laboratory tests drawn to monitor my liver function.

dmurph1496 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
Before starting on ethambutol (EMB), a baseline visual examination is indicated. Eye exams also may be scheduled during the course of treatment. This medication can cause optic neuritis. An allergy to eggs or administration of a flu vaccine or an ECG is not warranted prior to the implementation of this medication.

Answer to Question 2

Correct Answer: 1
INH should be taken one hour before meals or on an empty stomach, since food interferes with the absorption of the drug. To avoid drug interactions, patients should advise all healthcare providers that they are taking the medication. The patient should avoid alcohol because of the harmful effects to the liver while taking this medication. Because of the risk of hepatotoxicity, the patient should have baseline and monthly evaluations of liver function while on INH.