In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)
Isoniazid
Vancomycin
Pyrazinamide
Pantoprazole
Rifampin
Propranolol
Ethambutol
Correct Answer : A,C,E,G
A. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
B. Vancomycin is an antibiotic that is effective against certain bacteria, but it is not used in the treatment of TB.
C. This is another first-line anti-TB medication that is often used in combination with other drugs to treat active TB infections.
D. Pantoprazole is a proton pump inhibitor used to treat acid reflux and ulcers. It is not used in the treatment of TB.
E. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
F. Propranolol is a beta-blocker used to treat conditions such as high blood pressure and heart rhythm disorders. It is not used in the treatment of TB.
G. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E","F"]
Explanation
A. Fatigue is a common symptom of TB, especially in the early stages. The body's energy is used up fighting the infection, leading to feelings of tiredness.
B. Night sweats are another common symptom of TB. The body's immune system works harder at night, leading to excessive sweating.
C. While neuropathy can be a potential complication of TB, it's not a typical clinical manifestation in the early stages. Neuropathy is more likely to occur in advanced cases or if the TB infection has spread to other parts of the body.
D. TB can cause weight loss due to decreased appetite, increased metabolic rate, and the body's use of energy to fight the infection.
E. A cough is a common symptom of TB. In the early stages, the cough may be dry or non-productive, meaning there's no phlegm or mucus.
F. A low-grade fever is another common symptom of TB. The body's temperature rises slightly as it fights the infection.
Correct Answer is ["A","B","D","E"]
Explanation
A. Rinsing the mouth and spitting after using a steroid inhaler is essential to prevent oral thrush, a common side effect of inhaled corticosteroids. This practice helps clear residual medication from the mouth and throat, reducing the risk of fungal infections.
B. Bronchodilators, such as short-acting beta-agonists (SABAs), should be used before steroid inhalers. The bronchodilator opens the airways, allowing the steroid to reach deeper into the lungs for better efficacy.
C. While some inhalers (like rescue inhalers) may be used on a PRN basis, steroid inhalers are typically prescribed for regular, daily use to manage inflammation and control chronic conditions like asthma or COPD. They are not intended for PRN use only.
D. Frequent oral hygiene helps to reduce the risk of oral thrush and other oral health issues associated with steroid use. Patients should be encouraged to maintain good oral hygiene practices while using inhaled steroids.
E. Holding the breath for about 10 seconds after inhalation allows for better medication absorption in the lungs. This practice helps maximize the efficacy of the inhaled medication.
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