Rifabutin (Mycobutin) is prescribed to a client with active Mycobacterium avium complex disease and tuberculosis. The nurse determines that the client is experiencing side effects in which of the following, except?
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Solution
Tingling and numbness of the fingers.
Tingling and numbness of the fingers is more associated with the use of isoniazid (INH).
Options B, C, and D are the side effects of Rifabutin.
All of which are examples of antiviral influenza medications except?
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Solution
Ethionamide (Trecator).
Ethionamide (Trecator) is an antibiotic used in the treatment of tuberculosis.
A client is taking streptomycin. The nurse explains the nervous system side effects of this medication. The nurse correctly states that this medication causes damage in which cranial nerve?
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Solution
Cranial nerve VIII.
Nervous system side effects of streptomycin include eighth cranial nerve toxicity, which typically affects the vestibular system (Clumsiness, dizziness, unsteadiness), but may also affect the auditory component (Ringing in the ear, loss of hearing).
Option A is the facial nerve
Option C is the glossopharyngeal nerve.
Option D is the vagus nerve.
A nurse is giving instructions to a client receiving Pyrazinamide. Which of the following is not true regarding this medication?
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Solution
It enhances the effect of allopurinol.
Patients taking pyrazinamide decreases the effects of allopurinol, colchicine, probenecid, and sulfinpyrazone.
Option A: Taken with food to reduce gastric upset.
Option B: To instruct the client to avoid sunlight.
Option D: This medication causes hyperglycemia.
A client with tuberculosis is receiving Ethambutol (Myambutol). All of which are laboratories to be examined, except?
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Solution
Triglyceride level.
Triglyceride level is not monitored during the treatment.
Option A: Monitor for thrombocytopenia.
Option B: Monitor for hepatotoxicity.
Option D: Monitor for hyperuricemia.
A nurse is monitoring a client receiving an Ethambutol (Myambutol) for adverse effects. The nurse determines that the client is experiencing a side effect of the medication, in which of the following?
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Solution
Difficulty distinguishing the color yellow from orange.
Ethambutol (Myambutol) causes optic neuritis characterized by decreased visual acuity and the ability to distinguish between the color red from green.
Option A: Side effect of Rifampin.
Option B: Side effect of Streptomycin.
Option C: not a related symptom to the anti-TB medications.
A client has been taking isoniazid (INH). The client went to the health care facility with complaints of numbness and tingling sensation in the extremities. The nurse determines that the client is most likely suffering from?
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Solution
Peripheral neuritis.
Isoniazid (INH) causes peripheral neuritis characterized by numbness, tingling, and paresthesias in the extremities.
Options A and B are not related to the use of the medication.
Option D: Guillain-Barre syndrome is a rare condition in which your immune system attacks your nerves, leading to muscle weakness and even paralysis.
A nurse is caring for a client who is starting a long-term therapy of isoniazid (INH). The nurse plans to instruct the client to which of the following?
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Solution
To report an incidence of yellowish skin.
Isoniazid (INH) is hepatotoxic hence the client is instructed to report signs of jaundice (Yellowish of skin or the sclera).
Option A: Vitamin B6 can help in preventing peripheral neuritis.
Option B: Tuna which contains tyramine causes a reaction characterized by redness, flushing, sweating, itching of the skin while taking INH.
Option D: Avoid alcohol because the medication is hepatotoxic.
A client is to begin taking Rifampin (Rifadin). The nurse correctly teaches the client this medication:
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Solution
Will cause orange discoloration of sweat, urine, and feces.
Rifampin causes red-orange discolorations of bodily secretions such as sweat, urine, tears, and feces.
Option A: The client should not stop the therapy unless with a doctor’s advice.
Option B: The medication is taken on an empty stomach.
Option C: Doses are not to be doubled or skipped.
A client with influenza is prescribed with an antiviral drug. The nurse determines that the client indicates an understanding of the treatment if he or she state the following?
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Solution
“I will take the medication exactly as prescribed”.
Antiviral drugs are taken exactly as prescribed
Option B: Antiviral drugs do not prevent the spread of influenza and patients are still contagious for up to two days after the start of the therapy.
Option C: The durations for the medications are followed until the last day of the treatment.
Option D: Side effects such as dizziness and drowsiness will alert the client to be careful resuming their daily activities.