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Pharm NURS 615 Exam 2#

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Institution Pharm NURS 615
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Pharm NURS 615 Exam 2# 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 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.

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Pharm NURS 615 Exam 2#

WhichZpersonZshouldZbeZtreatedZwithZprophylacticZantitubercularZmedication?
Za.ZAZchildZwhoZattendsZtheZsameZschoolZwithZaZchildZwhoZhasZtuberculosisZ


b.ZAZnurseZwhoZisZworkingZinZaZhospitalZ

c.ZAnZindividualZwhoZisZHIV-positiveZwithZaZnegativeZTBZskinZtestZ

d.ZAZpatientZwhoZhasZcloseZcontactZwithZsomeoneZwhoZhasZtuberculosisZ-ZANSWERZAnswer:ZD

PersonalZcontactZwithZaZpersonZhavingZaZdiagnosisZofZtuberculosisZisZrequiredZtoZindicateZprophylactic
ZtreatmentZwithZantitubercularZtherapy.ZAttendingZtheZsameZschoolZdoesZnotZnecessarilyZmeanZcloseZ
contactZoccurs.ZHealthZcareZprofessionalsZdoZnotZneedZprophylacticZtreatment.ZHIV-
positiveZindividualsZwithZnegativeZTBZskinZtestsZdoZnotZneedZprophylaxis.



AZpatientZwhoZhasZchronicZliverZdiseaseZreportsZcontactZwithZaZpersonZwhoZhasZtuberculosisZ(TB).ZThe
ZnurseZwillZcounselZthisZpatientZtoZcontactZtheZproviderZtoZdiscussZ


a.ZaZchestZx-ray.Z

b.ZaZTBZskinZtest.Z

c.ZliverZfunctionZtestsZ(LFTs).Z

d.ZprophylacticZantitubercularZdrugs.Z-ZANSWERZANS:ZBZ

PatientsZwhoZhaveZexposureZtoZTBZshouldZhaveZaZTBZskinZtest.ZAZchestZx-
rayZisZperformedZifZtheZskinZtestZisZpositive.ZLFTsZdoZnotZneedZtoZbeZdoneZsimplyZbecauseZofZTBZexpo
sure.ZThisZpatientZisZnotZaZcandidateZforZantitubercularZdrugZprophylaxis



AZpatientZwhoZhasZtuberculosisZasksZtheZnurseZwhyZthreeZdrugsZareZusedZtoZtreatZthisZdisease.ZTheZn
urseZwillZexplainZthatZmulti-drugZtherapyZisZusedZtoZreduceZtheZlikelihoodZofZ

a.ZdiseaseZrelapse.Z

b.ZdrugZhypersensitivityZreactions.Z

c.ZdrugZresistance.Z

, d.ZdrugZadverseZeffectsZ-ZANSWERZANS:ZCZ

WithoutZmulti-
drugZtherapy,ZpatientsZeasilyZdevelopZresistanceZtoZantitubercularZdrugs.ZUsingZmoreZthanZoneZantitu
bercularZdrugZdoesZnotZpreventZrelapse,ZhypersensitivityZreactions,ZorZadverseZeffects.



AZpatientZisZbeingZtreatedZwithZisoniazidZ(INH),Zrifampin,ZandZpyrazinamideZinZphaseZIZofZtreatmentZfo
rZtuberculosis.ZTheZorganismZdevelopsZresistanceZtoZisoniazid.ZWhichZdrugZwillZtheZnurseZanticipateZth
eZproviderZwillZorderZtoZreplaceZtheZisoniazid?Z

a.ZCiprofloxacinZ(Cipro)Z

b.ZEthambutolZ(Myambutol)Z

c.ZKanamycin

d.ZStreptomycinZsulfateZ-ZANSWERZANS:ZBZ

IfZthereZisZbacterialZresistanceZtoZisoniazid,ZtheZfirstZphaseZmayZbeZchangedZtoZethambutol,Zrifampin,Z
andZpyrazinamide.ZCiprofloxacin,Zkanamycin,ZandZstreptomycinZareZnotZgenerallyZfirst-
lineZantitubercularZdrugs



TheZnurseZisZcaringZforZaZpatientZwhoZisZdiagnosedZwithZtuberculosis.ZTheZpatientZtellsZtheZnurseZthat
ZtheZproviderZplansZtoZorderZaZprophylacticZantitubercularZdrugZforZfamilyZmembersZandZasksZwhichZd
rugZwillZbeZordered.ZTheZnurseZwillZexpectZtheZproviderZtoZorderZwhichZdrug?Z

a.ZIsoniazidZ(INH)Z

b.ZPyrazinamideZ

c.ZRifampinZ(Rifadin)Z

d.ZStreptomycinZ-ZANSWERZANS:ZAZ

INHZisZtheZdrugZofZchoiceZforZprophylacticZtreatmentZofZpatientsZwhoZhaveZhadZcloseZcontactZwithZaZ
patientZwhoZhasZtuberculosis



TheZnurseZcaringZforZaZpatientZwhoZhasZtuberculosisZandZwhoZisZtakingZisoniazid,Zrifampin,ZandZstrept
omycinZreviewsZtheZmedicalZrecordZandZnotesZtheZpatientsZsputumZculturesZrevealZresistanceZtoZstrep
tomycin.ZTheZnurseZwillZanticipateZthatZtheZproviderZwillZtakeZwhichZaction?

a.ZAddZethambutolZ(Myambutol).Z

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