Which statement made by a patient indicates the need for more teaching about first-line drug therapy for tuberculosis (TB)?
a. To prevent nausea/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
A male patient who has been prescribed isoniazid (INH, Nydrazid) reports that his breasts have enlarged since starting therapy. What is your best response?
a. This is common with isoniazid and will disappear after you stop drug therapy.
b. Is the enlargement the same on both sides or is one breast larger than the other?
c. If you are not having difficulty getting an erection, do not worry about this change.
d. I will report this problem to your prescriber and see if it is possible for you to stop taking this drug.
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