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Author Question: When assessing a patient for adverse reactions to the combination of isoniazid and rifampin ... (Read 77 times)

haleyc112

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on: Jul 23, 2018
When assessing a patient for adverse reactions to the combination of isoniazid and rifampin (Rifadin), the nurse would monitor which laboratory results?
 
  a. Liver function tests (LFTs)
  b. Complete blood cell count (CBC)
  c. Uric acid levels
  d. Calcium levels

Question 2

The nurse at a public health clinic is working with some students on rotation through the clinic. The nurse asks the students, How is a definitive diagnosis of tuberculosis made?
 
  The students would be correct to respond that a definitive diagnosis of tuberculosis is made by which of the following means? (Select all that apply.)
  a. Tuberculin skin testing
  b. Chest radiographs (x-ray films)
  c. Microscopic examination of sputum
  d. Chronic cough
  e. Night sweats


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potomatos

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
The nurse should monitor LFTs and creatinine clearance, because isoniazid and rifampin are hepatotoxic, and the chances of hepatotoxicity are increased when the two are given together.
Nothing indicates a need to monitor a CBC, uric acid levels, or calcium levels.

Answer to Question 2

ANS: B, C
Definitive diagnosis of TB is made by chest radiographs and microscopic examination of the sputum.
TB skin testing, a chronic cough, and night sweats are not definitive and may not even be related to TB.


haleyc112

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

jamesnevil303

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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