A patient who has been diagnosed with multidrug-resistant ...

[rachel9]

A patient who has been diagnosed with multidrug-resistant tuberculosis asks how long the treatment regimen will last. Select the nurse's best response.
 
  a. After the sputum is converted to negative for TB organisms, the therapy continues for 12 to 24 months.
  b. The entire course of therapy lasts 3 to 6 months or until the chest radiograph is normal.
  c. Therapy is indefinite, because there is no method of determining responsiveness.
  d. No therapy is completely effective in multidrug-resistant tuberculosis, so treatment is needed for several years.

Question 2

A public health nurse is conducting research to reduce the occurrence of UTIs among the public. Which of the following patients would have the highest risk for developing a urinary tract infection?
 
  a. A 68-year-old woman with stress incontinence
  b. A 16-year-old girl who just became sexually active
  c. A 56-year-old male with frequents complaints of lower abdominal pain
  d. An 82-year-old woman living in a skilled care nursing facility

[Bison]

Answer to Question 1

ANS: A
Multidrug resistance is defined as resistance to at least isoniazid and rifampin. Treatment requires at least three drugs to which the organism is sensitive and should continue for 12 to 24 months after sputum conversion. Initial therapy may consist of five, six, or even seven drugs.
Three to 6 months is too short a drug regimen.
Therapy is long but not indefinite
Treatment is required for 1 to 2 years, not several years.

Answer to Question 2

ANS: D
Those with the highest risk of developing a UTI are elderly women in nursing homes. Of these patients, 30 to 50 have bacteremia at any given time.
A 68-year-old woman with stress incontinence is at higher risk, because her bladder muscle may be weak, but this does not predispose her to UTIs.
Among sexually active young women, 25 to 35 develop at least one UTI a year.
UTIs occur less often in males than in females. Nothing indicates that this patient's lower abdominal pain is associated with a UTI.