An HIV-positive patient is in a continuing phase of TB. The ...

[saraeharris]

An HIV-positive patient is in a continuing phase of TB. The patient has completed the initial phase of the treatment program. In the continuing phase, the patient has shown no positive sputum results for 6 months.
 
  The nurse knows that under what circumstances does the treatment in the second phase last for 4 months or more?
 
  A) Positive sputum culture after the completion of initial treatment
  B) Inclusion of pyrazinamide in the initial treatment
  C) Following the same eating habits in the continuing phase
  D) Nausea or vomiting after completing the initial treatment

Question 2

The nurse is preparing a teaching plan to foster client adherence to the tubercular drug treatment programs. Which of the following would the nurse include? Select all that apply.
 
  A) Reinforcing that short-term treatment is ineffective
  B) Reviewing the prescribed drug, doses, and frequency of administration
  C) Using a calendar to designate the days the drug is to be taken for alternate-dosage schedule
  D) Arranging for direct observation therapy with the client and family
  E) Instructing the client about possible adverse reactions and the need to notify prescriber should any occur

[Brummell1998]

Answer to Question 1

Ans: A
Feedback:
Positive sputum culture after the completion of initial treatment leads to treatment in the second phase lasting for 4 to 7 months. Following the same eating habits (diet) will not cause treatment in the second phase to last for 4 months or more, nor will nausea or vomiting occurring after completing the initial treatment. Noninclusion of pyrazinamide in the initial treatment leads to the second phase lasting for 4 to 7 months or more.

Answer to Question 2

Ans: A, B, D, E
Feedback:
Teaching points that can be used by the nurse to increase the likelihood for effective therapeutic outcomes include reinforcing that short-term treatment is ineffective; reviewing the drug therapy regimen, including the prescribed drug, doses, and frequency of administration; arranging for direct observation therapy with the client and family; and instructing the client about possible adverse reactions and the need to notify the prescriber should any occur.

[saraeharris]

Both answers were spot on, thank you once again

[Brummell1998]

Great! Please up vote