A nurse is caring for a patient with HIV/acquired ...

[theo]

A nurse is caring for a patient with HIV/acquired immunodeficiency syndrome (AIDS) who has taken protease inhibitors for 18 months.
 
  The patient has been diagnosed with active tuberculosis. Which drug(s) would the nurse expect to be added to the treatment plan of a patient with HIV/AIDS? (Select all that apply.)
  a. Isoniazid
  b. Rifampin (Rifadin)
  c. Pyrazinamide (PZA)
  d. Ethambutol (Myambutol)
  e. Rifabutin (Mycobutin)

Question 2

A patient is about to begin therapy with ethambutol. The nurse knows that, before initiating treatment with this drug, it is important to obtain which test(s)?
 
  a. Color vision and visual acuity
  b. Complete blood cell (CBC) count
  c. Hearing testing and a tympanogram
  d. Hepatic function tests

[strudel15]

Answer to Question 1

ANS: A, C, D, E
Isoniazid, pyrazinamide, ethambutol, and rifabutin could be included in the treatment of a patient with HIV/AIDS. Rifampin is contraindicated as part of the new antituberculosis regimen, because it would reduce the effects of the protease inhibitors.

Answer to Question 2

ANS: A
Optic neuritis is a dose-related adverse effect of ethambutol. Patients receiving this drug should have color vision and visual acuity testing before therapy starts and periodically thereafter. A CBC, hearing evaluations, and hepatic function testing are not recommended.

[theo]

Thank you!

[strudel15]

Always glad to help...