Pharm NURS 615 Exam 2 Prep Questions And All Correct Answers.
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Course
Nurs 615
Institution
Nurs 615
Which person should be treated with prophylactic antitubercular medication? a. A child who attends the same school with a child who has tuberculosis
b. A nurse who is working in a hospital
c. An individual who is HIV-positive with a negative TB skin test
d. A patient who has close contact wit...
Pharm NURS 615 Exam 2 Prep
Questions And All Correct Answers.
Which person should be treated with prophylactic antitubercular medication? a. A child who attends the
same school with a child who has tuberculosis
b. A nurse who is working in a hospital
c. An individual who is HIV-positive with a negative TB skin test
d. A patient who has close contact with someone who has tuberculosis - Answer Answer: D
Personal contact with a person having a diagnosis of tuberculosis is required to indicate prophylactic
treatment with antitubercular therapy. Attending the same school does not necessarily mean close
contact occurs. Health care professionals do not need prophylactic treatment. HIV-positive individuals
with negative TB skin tests do not need prophylaxis.
A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB). The
nurse will counsel this patient to contact the provider to discuss
a. a chest x-ray.
b. a TB skin test.
c. liver function tests (LFTs).
d. prophylactic antitubercular drugs. - Answer ANS: B
Patients who have exposure to TB should have a TB skin test. A chest x-ray is performed if the skin test is
positive. LFTs do not need to be done simply because of TB exposure. This patient is not a candidate for
antitubercular drug prophylaxis
A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse
will explain that multi-drug therapy is used to reduce the likelihood of
a. disease relapse.
b. drug hypersensitivity reactions.
c. drug resistance.
d. drug adverse effects - Answer ANS: C
Without multi-drug therapy, patients easily develop resistance to antitubercular drugs. Using more than
one antitubercular drug does not prevent relapse, hypersensitivity reactions, or adverse effects.
, A patient is being treated with isoniazid (INH), rifampin, and pyrazinamide in phase I of treatment for
tuberculosis. The organism develops resistance to isoniazid. Which drug will the nurse anticipate the
provider will order to replace the isoniazid?
a. Ciprofloxacin (Cipro)
b. Ethambutol (Myambutol)
c. Kanamycin
d. Streptomycin sulfate - Answer ANS: B
If there is bacterial resistance to isoniazid, the first phase may be changed to ethambutol, rifampin, and
pyrazinamide. Ciprofloxacin, kanamycin, and streptomycin are not generally first-line antitubercular
drugs
The nurse is caring for a patient who is diagnosed with tuberculosis. The patient tells the nurse that the
provider plans to order a prophylactic antitubercular drug for family members and asks which drug will
be ordered. The nurse will expect the provider to order which drug?
a. Isoniazid (INH)
b. Pyrazinamide
c. Rifampin (Rifadin)
d. Streptomycin - Answer ANS: A
INH is the drug of choice for prophylactic treatment of patients who have had close contact with a
patient who has tuberculosis
The nurse caring for a patient who has tuberculosis and who is taking isoniazid, rifampin, and
streptomycin reviews the medical record and notes the patients 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. - Answer ANS: C
The patients 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
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