The nurse is caring for a patient with human immunodeficiency ...

[cherise1989]

The nurse is caring for a patient with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) who has taken protease inhibitors for 18 months.
 
  The patient has been diagnosed with active tuberculosis. The nurse would not expect the addition of which drug to the patient's medication regimen?
  a. Isoniazid (INH)
  b. Rifampin (Rifadin)
  c. Pyrazinamide (PZA)
  d. Kanamycin (Kantrex)

Question 2

An adult has active tuberculosis, as diagnosed by sputum examination and culture. In evaluating the patient's response to therapy, the nurse would want to see which finding?
 
  a. Improved x-ray report within 3 months
  b. Absence of symptoms by 8 weeks
  c. Return to a negative skin test by 4 weeks
  d. Negative computed tomography (CT) scan by 2 weeks

[asware1]

Answer to Question 1

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

Answer to Question 2

ANS: A
The nurse would expect to see an improved x-ray report within 3 months. Therapy is evaluated in three ways: bacteriologic evaluation of the sputum, clinical evaluation, and chest radiographs.
The nurse would not expect symptoms to be absent or a negative TB skin test. The patient will always have a positive test result, because antibodies are in the system.
A CT scan is not indicated.

[cherise1989]

Excellent

[nanny]

TYSM