Question 1

Family members exposed to a patient with active TB may require prophylactic drug therapy.How long do they need to take this therapy?

Accepted Answer

A) 6 months 
B) 9 months 
C) 18 months 
D) 24 months 
A) 6 months 
B) 9 months 
C) 18 months 
D) 24 months B

Question 2

Patients taking isoniazid (Isotamine)should watch for and report which potential adverse effect(s)?

Accepted Answer

A) Rash 
B) Headache and nervousness 
C) Insomnia 
D) Numbness and tingling of extremities 
A) Rash 
B) Headache and nervousness 
C) Insomnia 
D) Numbness and tingling of extremities D

Question 3

What information is the nurse to provide to a woman who is beginning rifampin therapy and is currently taking an oral contraceptive?

Accepted Answer

A) There is an increased risk of thrombophlebitis. 
B) A higher dose of rifampin will be necessary. 
C) Oral contraceptives are ineffective while the patient is taking rifampin. 
D) The incidence of adverse effects is greater when the two drugs are taken together. 
A) There is an increased risk of thrombophlebitis. 
B) A higher dose of rifampin will be necessary. 
C) Oral contraceptives are ineffective while the patient is taking rifampin. 
D) The incidence of adverse effects is greater when the two drugs are taken together. C

Question 4

A patient has been prescribed an anti-TB therapy.What should the nurse say about this medication to the patient? (Select all that apply.)

Accepted Answer

A) "Take the medications until the symptoms disappear." 
B) "Take the medications at the same time every day." 
C) "You are considered contagious for most of the illness and must take precautions to prevent spreading the disease." 
D) "The medications may be stopped if you have severe adverse effects." 
E) "Alcoholic beverages should be avoided while on this therapy."
F)"If you notice reddish-brown or reddish-orange urine, stop the drug and contact your doctor right away."
G)"If you experience a burning or tingling in your fingers or toes, report this to your physician immediately."
H)"Oral contraceptives may not work while on these drugs, so you will need to use another form of birth control." 
A) "Take the medications until the symptoms disappear." 
B) "Take the medications at the same time every day." 
C) "You are considered contagious for most of the illness and must take precautions to prevent spreading the disease." 
D) "The medications may be stopped if you have severe adverse effects." 
E) "Alcoholic beverages should be avoided while on this therapy."
F)"If you notice reddish-brown or reddish-orange urine, stop the drug and contact your doctor right away."
G)"If you experience a burning or tingling in your fingers or toes, report this to your physician immediately."
H)"Oral contraceptives may not work while on these drugs, so you will need to use another form of birth control."

Question 5

A patient who has been taking isoniazid (Isotamine)has a new prescription for pyridoxine (vitamin B6)and asks the nurse why this medication is needed.The nurse explains that pyridoxine is given concurrently with the isoniazid to prevent which condition?

Accepted Answer

A) Hair loss 
B) Renal failure 
C) Neurological adverse effects 
D) Heart failure 
A) Hair loss 
B) Renal failure 
C) Neurological adverse effects 
D) Heart failure

Question 6

What indicates a patient's therapeutic response to antitubercular drugs?

Accepted Answer

A) Cessation of the chronic cough 
B) Two consecutive negative purified protein derivative tuberculin skin test results over 2 months 
C) An increased tolerance to the medication therapy and fewer reports of adverse effects 
D) A decrease in symptoms of tuberculosis (T
B)  and improved chest X-rays and sputum cultures 
A) Cessation of the chronic cough 
B) Two consecutive negative purified protein derivative tuberculin skin test results over 2 months 
C) An increased tolerance to the medication therapy and fewer reports of adverse effects 
D) A decrease in symptoms of tuberculosis (T
B)  and improved chest X-rays and sputum cultures

Question 7

Which is the reason for using multidrug therapy in the treatment of TB?

Accepted Answer

A) Multiple drugs are required to eradicate TB. 
B) The use of multiple medications reduces the chance of TB becoming drug resistant. 
C) Multidrug therapy will have a faster effect than will single-drug therapy. 
D) Using multidrug therapy enhances the effect of each drug. 
A) Multiple drugs are required to eradicate TB. 
B) The use of multiple medications reduces the chance of TB becoming drug resistant. 
C) Multidrug therapy will have a faster effect than will single-drug therapy. 
D) Using multidrug therapy enhances the effect of each drug.

Question 8

Which has a significant drug interaction with isoniazid (Isotamine)?

Accepted Answer

A) Alcohol 
B) Nicotine 
C) Antacids 
D) Laxatives 
A) Alcohol 
B) Nicotine 
C) Antacids 
D) Laxatives

Question 9

When assessing patients who are to receive antitubercular therapy,the nurse should monitor for which sign?

Accepted Answer

A) Glaucoma 
B) Weight gain 
C) Heart failure 
D) Hepatic impairment 
A) Glaucoma 
B) Weight gain 
C) Heart failure 
D) Hepatic impairment

Question 10

A patient who has started drug therapy for TB asks the nurse how long the medications will have to be taken.Which statement is the nurse's best response to the patient's question?

Accepted Answer

A) Drug therapy will last until the symptoms have stopped. 
B) Drug therapy will continue until the TB develops resistance. 
C) The patient should expect to take these drugs for up to 24 months. 
D) The tuberculosis drug therapy will continue for the rest of the patient's life. 
A) Drug therapy will last until the symptoms have stopped. 
B) Drug therapy will continue until the TB develops resistance. 
C) The patient should expect to take these drugs for up to 24 months. 
D) The tuberculosis drug therapy will continue for the rest of the patient's life.

Question 11

Which antitubercular drug may cause retrobulbar neuritis?

Accepted Answer

A) rifampin (Rifadin) 
B) isoniazid (Isotamine) 
C) ethambutol (Etibi) 
D) streptomycin 
A) rifampin (Rifadin) 
B) isoniazid (Isotamine) 
C) ethambutol (Etibi) 
D) streptomycin

Exam 46: Antitubercular Drugs

Family members exposed to a patient with active TB may require prophylactic drug therapy.How long do they need to take this therapy?

Patients taking isoniazid (Isotamine)should watch for and report which potential adverse effect(s)?

What information is the nurse to provide to a woman who is beginning rifampin therapy and is currently taking an oral contraceptive?

A patient has been prescribed an anti-TB therapy.What should the nurse say about this medication to the patient? (Select all that apply.)

A patient who has been taking isoniazid (Isotamine)has a new prescription for pyridoxine (vitamin B6)and asks the nurse why this medication is needed.The nurse explains that pyridoxine is given concurrently with the isoniazid to prevent which condition?

What indicates a patient's therapeutic response to antitubercular drugs?

Which is the reason for using multidrug therapy in the treatment of TB?

Which has a significant drug interaction with isoniazid (Isotamine)?

When assessing patients who are to receive antitubercular therapy,the nurse should monitor for which sign?

A patient who has started drug therapy for TB asks the nurse how long the medications will have to be taken.Which statement is the nurse's best response to the patient's question?

Which antitubercular drug may cause retrobulbar neuritis?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

Filters

A patient who has been taking isoniazid (Isotamine)has a new prescription for pyridoxine (vitamin B₆)and asks the nurse why this medication is needed.The nurse explains that pyridoxine is given concurrently with the isoniazid to prevent which condition?