A 16-year-old patient is admitted to the emergency room after ...

[mspears3]

A 16-year-old patient is admitted to the emergency room after attempting to commit suicide by overdosing on the isoniazid (INH) prescribed for newly diagnosed tuberculosis. What information does the nurse provide to the family?
 
  1. INH overdose is very serious.
  2. Large amounts of intravenous lipids will be administered.
  3. Treatment will include infusion of vitamin B6.
  4. Liver damage may occur.
  5. Oral aspirin will be given as an antidote.

Question 2

A client has been diagnosed with multidrug-resistant tuberculosis, and drug therapy has been initiated. The nurse evaluates that medication education has been effective when the patient says, I can expect to take this medication for up to _____ months.
 
  Fill in the blank(s) with correct word

[reversalruiz]

Answer to Question 1

1,3,4
Rationale 1: INH is very serious and may be fatal.
Rationale 2: There is no indication for large amounts of intravenous lipids.
Rationale 3: Treatment includes infusion of vitamin B6.
Rationale 4: INH may damage the liver, even in recommended dosages.
Rationale 5: Oral aspirin is not the antidote for INH overdose.

Global Rationale: INH is very serious and may be fatal. Treatment includes infusion of vitamin B6. INH may damage the liver, even in recommended dosages. There is no indication for large amounts of intravenous lipids. Oral aspirin is not the antidote for INH overdose.

Answer to Question 2

24

Rationale: Tuberculosis treatment requires long-term antibiotic therapy for up to 12 months. When the tuberculosis is multidrug-resistant, treatment may extend up to 24 months.

Global Rationale: Tuberculosis treatment requires long-term antibiotic therapy for up to 12 months. When the tuberculosis is multidrug-resistant, treatment may extend up to 24 months.

[mspears3]

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