Kathy Lacey, a 32-year-old married female, is diagnosed with tuberculosis (TB). The
healthcare provider prescribes medications using the protocol for the initial phase of
antitubercular therapy. In addition, the healthcare provider tells Mrs. Lacey that her
entire family, as well as others with whom she has come into close contact, must also
be tested for tuberculosis.
What information should the nurse provide the patient with regard to
contraindications to and precautions for the antitubercular therapy?
Give this one a try later!
The nurse should assess the patient for alcohol abuse, AIDS, liver disease
or kidney disease, pregnancy or breast-feeding, a history of convulsive
disorders, and receiving immunosuppressant drugs.
The nurse will advise female patients on oral contraceptives to use an
alternative form of birth control while on these medications, as they can
decrease the effectiveness of oral contraceptives.
The nurse must provide education about the drug regimen and the
importance of not stopping the medications, complying strictly with the
, prescribed regimen, even if the symptoms disappear.
Hepatotoxicity is a serious and sometimes fatal adverse effect; thus, the
patient should be monitored carefully for jaundice, fatigue, elevated
hepatic enzymes, or loss of appetite. Liver enzyme tests are usually
performed monthly during therapy to identify early hepatotoxicity.
Hepatotoxicity usually appears in the first 1-3 months of therapy but may
occur at any time during treatment.
Which of the following statements by a patient who is taking cyclosporine would
indicate the need for more teaching by the nurse?
A. "I will report any reduction in urine output to my healthcare provider"
B. "I will wash my hands frequently"
C. "I will take my blood pressure at home every day"
D. "I will take my cyclosporine at breakfast with a glass of grapefruit juice"
Give this one a try later!
D. "I will take my cyclosporine at breakfast with a glass of grapefruit juice"
What important information should be included in the patient's teaching education
regarding taking ciprofloxacin?
A. The drug can cause discoloration of the teeth
B. Fluid intake should be decreased to prevent urine retention
C. Any heel or lower leg pain should be reported immediately
D. The drug should be taken with an antacid to reduce gastric effects
Give this one a try later!
C. Any heel or lower leg pain should be reported immediately
, A patient with a severe systemic fungal infection is to be given amphotericin B. Before
starting the amphotericin infusion, the nurse premedicates the patient with
acetaminophen, diphenhydramine (Benadryl), and prednisone. What is the purpose of
premedicating the patient prior to the amphotericin?
A. Delays the development of resistant fungal infections
B. Decreases the risk of hypersensitivity reactions to the amphotericin
C. Prevents hyperthermia reactions from the amphotericin
D. Works synergistically with the amphotericin so a lower dose may be given
Give this one a try later!
B. Decreases the risk of hypersensitivity reactions to the amphotericin
Thomas Barnes is a 56-year-old who recently had a successful kidney transplant
related to an inherited kidney disease. Mr. Barnes tells the nurse that he is determined
to stay as healthy as possible. Along with the corticosteroid prednisone, the
healthcare provider has prescribed cyclosporine (Neoral) 5 mg/kg/day orally.
What important points related to the adverse effects of cyclosporine should the nurse
provide during patient teaching?
Give this one a try later!
The patient should monitor urine output, reporting any significant decrease
in amount and frequency.
The nurse should instruct the patient on infection-control measures,
including frequent handwashing. Teach the patient to report any fever over
38.3°C (101°F) or as instructed by the healthcare provider.
Encourage the patient to maintain excellent oral hygiene, inspecting the
oral cavity daily. Search for opportunistic infections such as thrush.
Teach the patient how to monitor blood pressure. The patient should report
healthcare provider prescribes medications using the protocol for the initial phase of
antitubercular therapy. In addition, the healthcare provider tells Mrs. Lacey that her
entire family, as well as others with whom she has come into close contact, must also
be tested for tuberculosis.
What information should the nurse provide the patient with regard to
contraindications to and precautions for the antitubercular therapy?
Give this one a try later!
The nurse should assess the patient for alcohol abuse, AIDS, liver disease
or kidney disease, pregnancy or breast-feeding, a history of convulsive
disorders, and receiving immunosuppressant drugs.
The nurse will advise female patients on oral contraceptives to use an
alternative form of birth control while on these medications, as they can
decrease the effectiveness of oral contraceptives.
The nurse must provide education about the drug regimen and the
importance of not stopping the medications, complying strictly with the
, prescribed regimen, even if the symptoms disappear.
Hepatotoxicity is a serious and sometimes fatal adverse effect; thus, the
patient should be monitored carefully for jaundice, fatigue, elevated
hepatic enzymes, or loss of appetite. Liver enzyme tests are usually
performed monthly during therapy to identify early hepatotoxicity.
Hepatotoxicity usually appears in the first 1-3 months of therapy but may
occur at any time during treatment.
Which of the following statements by a patient who is taking cyclosporine would
indicate the need for more teaching by the nurse?
A. "I will report any reduction in urine output to my healthcare provider"
B. "I will wash my hands frequently"
C. "I will take my blood pressure at home every day"
D. "I will take my cyclosporine at breakfast with a glass of grapefruit juice"
Give this one a try later!
D. "I will take my cyclosporine at breakfast with a glass of grapefruit juice"
What important information should be included in the patient's teaching education
regarding taking ciprofloxacin?
A. The drug can cause discoloration of the teeth
B. Fluid intake should be decreased to prevent urine retention
C. Any heel or lower leg pain should be reported immediately
D. The drug should be taken with an antacid to reduce gastric effects
Give this one a try later!
C. Any heel or lower leg pain should be reported immediately
, A patient with a severe systemic fungal infection is to be given amphotericin B. Before
starting the amphotericin infusion, the nurse premedicates the patient with
acetaminophen, diphenhydramine (Benadryl), and prednisone. What is the purpose of
premedicating the patient prior to the amphotericin?
A. Delays the development of resistant fungal infections
B. Decreases the risk of hypersensitivity reactions to the amphotericin
C. Prevents hyperthermia reactions from the amphotericin
D. Works synergistically with the amphotericin so a lower dose may be given
Give this one a try later!
B. Decreases the risk of hypersensitivity reactions to the amphotericin
Thomas Barnes is a 56-year-old who recently had a successful kidney transplant
related to an inherited kidney disease. Mr. Barnes tells the nurse that he is determined
to stay as healthy as possible. Along with the corticosteroid prednisone, the
healthcare provider has prescribed cyclosporine (Neoral) 5 mg/kg/day orally.
What important points related to the adverse effects of cyclosporine should the nurse
provide during patient teaching?
Give this one a try later!
The patient should monitor urine output, reporting any significant decrease
in amount and frequency.
The nurse should instruct the patient on infection-control measures,
including frequent handwashing. Teach the patient to report any fever over
38.3°C (101°F) or as instructed by the healthcare provider.
Encourage the patient to maintain excellent oral hygiene, inspecting the
oral cavity daily. Search for opportunistic infections such as thrush.
Teach the patient how to monitor blood pressure. The patient should report
