Select the correct statements regarding drug-resistant TB. Select all that apply:
MDR-TB is resistant to at least INH and RIF.
XDR-TB is resistant to all first-line drugs and at least one second-line injectable drug.
RR-TB is resistant to RIF alone or in combination with other drugs.
Drug-resistant TB is more common in infants and children.
Drug-resistant TB requires more prolonged treatment with additional drugs. .
Correct Answer : A,B,C,E
Choice A rationale:
MDR-TB stands for multidrug-resistant tuberculosis, and it is resistant to at least two of the most potent first-line anti-TB drugs, isoniazid (INH), and rifampicin (RIF) This resistance makes the treatment of MDR-TB more challenging and requires the use of second-line drugs.
Choice B rationale:
XDR-TB stands for extensively drug-resistant tuberculosis, and it is resistant to all first-line anti-TB drugs (INH and RIF) and at least one of the second-line injectable drugs (e.g., amikacin, kanamycin, or capreomycin) XDR-TB is even more challenging to treat than MDR-TB and requires the use of third-line drugs.
Choice C rationale:
RR-TB refers to rifampicin-resistant tuberculosis. It is resistant to rifampicin alone or in combination with other drugs but still susceptible to isoniazid. Rifampicin resistance is a critical indicator for diagnosing MDR-TB.
Choice D rationale:
This statement is incorrect. Drug-resistant TB is not more common in infants and children. It can affect individuals of any age, especially those who have received inadequate or inappropriate treatment for TB, leading to the development of drug resistance.
Choice E rationale:
This statement is correct. Drug-resistant TB requires more prolonged treatment compared to drug-sensitive TB. Treatment for drug-resistant TB can take months to years and often involves a combination of second and third-line drugs, which may have more side effects and require careful monitoring.
Hepatitis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Providing emotional support and counseling is an important aspect of nursing care for TB patients. However, the primary goal of nursing interventions is to address the transmission of the disease and prevent its spread to others. TB is a highly contagious airborne disease, and healthcare professionals play a crucial role in implementing measures to reduce transmission.
Choice B rationale:
Monitoring the patient's weight and vital signs is essential for assessing the patient's response to treatment and overall health status. While these interventions are important, they are not the primary goal for TB patients. The main focus remains on preventing transmission and ensuring effective treatment.
Choice C rationale:
Preventing transmission of TB is the primary goal of nursing interventions. This involves implementing infection control measures, such as respiratory isolation, proper use of personal protective equipment, and education on cough etiquette for patients. By preventing the spread of TB, healthcare professionals contribute to public health efforts to control the disease.
Choice D rationale:
Administering antibiotic therapy is a critical aspect of TB treatment. However, it is not the primary goal of nursing interventions. Nursing interventions primarily focus on the prevention of transmission and supporting patients through their treatment journey.
Correct Answer is A
Explanation
Choice A rationale:
Directly observed therapy (DOT) is a treatment strategy used for clients with active tuberculosis (TB) disease. The purpose of DOT is to ensure that the client takes their TB medications as prescribed, under direct observation by a healthcare provider or trained healthcare worker. By directly observing the medication administration, DOT helps to ensure medication adherence, which is crucial in preventing the development of drug-resistant TB strains. It also reduces the risk of treatment failure, relapse of the disease, and transmission of TB to others. By closely monitoring the client's adherence to the treatment regimen, healthcare providers can intervene promptly if any issues arise during the course of treatment.
Choice B rationale:
Facilitating early diagnosis and treatment is an essential aspect of TB control; however, this is not the primary purpose of directly observed therapy (DOT) Early diagnosis helps to identify and initiate appropriate treatment promptly, but DOT is specifically implemented to monitor and enhance adherence during the course of treatment, particularly for those at risk of non-compliance.
Choice C rationale:
Evaluating the impact and effectiveness of TB control programs is an important public health measure, but it is not the direct purpose of DOT. DOT mainly focuses on individual client treatment adherence rather than assessing overall program effectiveness.
Choice D rationale:
Identifying and testing persons who have been in close contact with active TB cases is part of contact tracing and TB screening efforts, which are separate from the purpose of directly observed therapy (DOT) DOT is centered on the supervision of treatment for clients already diagnosed with active TB disease.
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