This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse caring for a patient who has tuberculosis and who is taking isoniazid, rifampin, and ... (Read 113 times)

09madisonrousseau09

  • Hero Member
  • *****
  • Posts: 559
on: Jul 23, 2018
The nurse caring for a patient who has tuberculosis and who is taking isoniazid, rifampin, and streptomycin reviews the medical record and notes the patient's sputum cultures reveal resistance to streptomycin.
 
  The nurse will anticipate that the provider will take which action?
  a. Add ethambutol (Myambutol).
  b. Change the streptomycin to clarithromycin.
  c. Change the streptomycin to kanamycin.
  d. Order renal function tests.

Question 2

A patient who has completed the first phase of a three-drug regimen for tuberculosis has a positive sputum acid-bacilli test. The nurse will tell the patient that
 
  a. drug resistance has probably occurred.
  b. it may be another month before this test is negative.
  c. the provider will change the pyrazinamide to ethambutol.
  d. there may be a need to remain in the first phase of therapy for several weeks.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

akudia

  • Sr. Member
  • ****
  • Posts: 347
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
The patient's current regimen is first-phase treatment. If resistance to streptomycin develops, the provider can change to kanamycin or to ciprofloxacin. Ethambutol is added if there is resistance to isoniazid. Clarithromycin is used during phase II. Renal function tests are not indicated.

Answer to Question 2

ANS: B
The goal is for the patient's sputum test to be negative 2 to 3 months after the therapy. The positive test does not indicate drug resistance. The provider will not change the drugs or keep the patient in the first phase longer than planned.


09madisonrousseau09

  • Hero Member
  • *****
  • Posts: 559
Reply #2 on: Jul 23, 2018
Thanks


akudia

  • Sr. Member
  • ****
  • Posts: 347
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

The average office desk has 400 times more bacteria on it than a toilet.

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
Patient Teaching Patient Teaching
Fundus of white pateint and black patient Fundus of white pateint and black patient
Reputable Websites for Patient Education Cont. Reputable Websites for Patient Education Cont.
Use of combination therapy during tuberculosis therapy to avoid resistance. Use of combination therapy during tuberculosis therapy to avoid resistance.
Video: Regulation of GFR: autoregulation via tubuloglomerular feedback, neural & hormonal regulation

For a complete list of videos, visit our video library