A 22-year-old female is diagnosed with mycobacterial ...

[charchew]

A 22-year-old female is diagnosed with mycobacterial tuberculosis. The physician orders rifampin (Rifadin) 600 mg PO daily. What should the nurse question the patient about?
 
  A) Her diet
  B) Sun exposure
  C) Type of exercise she does
  D) Use of contact lenses

Question 2

The nurse is caring for a 3-year-old child newly diagnosed with type 1 diabetes.
 
  When developing the plan of care for this child, the nurse incorporates challenges the child faces that the adult does not, which includes what? (Select all that apply.)
  A) Children have a faster metabolic rate.
  B) Growth must be balanced with diet and activity.
  C) Insulin dose may be so small it is hard to calibrate accurately.
  D) Increased resistance by child to dietary restrictions is common.
  E) Changing metabolism makes regulating insulin difficult.

[6ana001]

Answer to Question 1

D
Feedback:
Some antimycobacterial drugs can cause discoloration of body fluids. The orange tinged discoloration can cause permanent stain to contact lenses. The patient should avoid wearing them while on the antimycobacterial therapy. With antimycobacterial drugs there is not a concern is warranted about photosensitivity or exercise. However, due to the GI adverse effects, the nurse may want to discuss an appropriate diet if the patient experiences GI upset after beginning treatment.

Answer to Question 2

A, B, C
Feedback:
Treatment of diabetes in children is a difficult challenge of balancing diet, activity, growth, stressors, and insulin requirements. Children need to be carefully monitored for any sign of hypoglycemia or hyperglycemia and treated quickly because their fast metabolism and lack of body reserves can push them into a severe state quickly. Insulin dosage, especially in infants, may be so small that it is difficult to calibrate. Insulin often needs to be diluted to a volume that can be detected on the syringe. It is usually during adolescence when increased resistance to dietary restrictions and changing metabolism makes regulating insulin difficult so this would not be part of the plan of care for a 3-year-old.

[charchew]

Thank you!

[6ana001]

Always glad to help...