« previous next »

Author Question: A patient who has been diagnosed with multidrug-resistant tuberculosis asks how long the treatment ... (Read 64 times)

rachel9

  • Sr. Member
  • ****
  • Posts: 495
on: Jul 23, 2018
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

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 23, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

Today, nearly 8 out of 10 pregnant women living with HIV (about 1.1 million), receive antiretrovirals.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Pigmented bands in nail of patient with dark skin Pigmented bands in nail of patient with dark skin
Patient teaching - eye assessment Patient teaching - eye assessment
Prevalence and Sex Distribution of Top 10 Autoimmune Diseases Diagnosed in the United States Prevalence and Sex Distribution of Top 10 Autoimmune Diseases Diagnosed in the United States
Patient Physical Status Classification Patient Physical Status Classification
Use palms and fingers to brush off along the back of the body from shoulders to feet with long ... Use palms and fingers to brush off along the back of the body from shoulders to feet with long ...
Treatment of municipal wastewater Treatment of municipal wastewater
Video: Epidural Hematoma

For a complete list of videos, visit our video library