Author Question: A nursing instructor is describing a situation in which a client with tuberculosis periodically ... (Read 61 times)

rosent76 · **on:** Jul 23, 2018

A nursing instructor is describing a situation in which a client with tuberculosis periodically visits his primary health care provider and demonstrates taking his medication in front of the nurse. The instructor is describing which of the following?

A) Initial phase of treatment
B) Continuation phase of treatment
C) Directly observed therapy
D) Adherence evaluation

Question 2

A client with diabetes who is taking an oral antidiabetic agent is diagnosed with tuberculosis and is prescribed rifampin. The nurse would instruct the client about which of the following?

A) Increased risk for bleeding
B) Greater risk for hepatotoxicity
C) Increased blood glucose levels
D) Risk for increased blood pressure

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

Answer to Question 1

Ans: C
Feedback:
With directly observed therapy (DOT), the patient makes periodic visits to the office of the primary health care provider or the health clinic and takes the drug in the presence of the nurse. Nurses watch the patient swallow each dose of the medication treatment. In some cases, the nurse may travel to the patient's home, place of employment, or school to observe or administer medication. DOT can be used during the initial and/or continuation phase of treatment.

Answer to Question 2

Ans: C
Feedback:
Rifampin interacts with oral hypoglycemic agents, leading to a decrease in the effectiveness of the oral hypoglycemic agent, thus increasing blood glucose levels. An increased risk for bleeding occurs when rifampin is given with oral anticoagulants. An increased risk of hepatotoxicity occurs when rifampin is given with isoniazid. When verapamil is given with rifampin, the effectiveness of verapamil is decreased, leading to increased blood pressure levels.