Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?
A 73-year-old patient who is taking pyridoxine along with isoniazid.
A 24-year-old patient who has noticed a red-orange color in their urine after being treated with rifampin.
A 68-year-old patient who has been taking rifampin and isoniazid as prescribed for 24 months.
A 35-year-old patient who did not complete the full course of anti-tubercular therapy in the past.
The Correct Answer is D
Choice A rationale
While older age and the use of certain medications can increase the risk of developing drug- resistant tuberculosis, these factors alone do not pose the greatest risk.
Choice B rationale
The presence of a red-orange color in the urine after being treated with rifampin is a common side effect of the medication and does not indicate an increased risk of developing drug- resistant tuberculosis.
Choice C rationale
A patient who has been taking rifampin and isoniazid as prescribed for 24 months is not at the greatest risk of developing drug-resistant tuberculosis. Adherence to the prescribed treatment regimen is actually crucial in preventing the development of drug-resistant strains of the disease.
Choice D rationale
A patient who did not complete the full course of anti-tubercular therapy in the past is at the greatest risk of developing a drug-resistant form of the disease. Incomplete treatment can allow tuberculosis bacteria to develop resistance to the medications used, leading to the emergence of drug-resistant strains.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Monitoring blood pressure for hypertension during the infusion is important, but it is not the primary measure to reduce complications with vancomycin administration3.
Choice B rationale
Restricting fluids during vancomycin therapy is not recommended. Adequate hydration is important when receiving vancomycin to prevent kidney damage3.
Choice C rationale
Infusing the drug over at least 1 hour is the most crucial measure to reduce complications that may occur with vancomycin administration. This is to prevent “red man syndrome,” a reaction that can cause flushing, rash, and hypotension3.
Choice D rationale
Discontinuing the drug immediately if red man syndrome occurs is not the primary measure. The infusion can often be slowed down or temporarily stopped to manage this reaction3.
Correct Answer is A
Explanation
Choice A rationale
Corticosteroids, like the ones the client has been receiving for severe bronchitis, can cause an increase in glucose levels. This is because corticosteroids can stimulate the liver to release extra glucose and can also make body tissues less sensitive to insulin.
Choice B rationale
Type 2 diabetes does not convert to type 1 diabetes. These are two distinct conditions with different causes.
Choice C rationale
While illness and stress can make the body’s tissues less sensitive to insulin, leading to higher blood glucose levels, the client’s bronchitis symptoms have resolved. Therefore, this is not the most likely reason for the increase in glucose levels.
Choice D rationale
Antibiotics do not typically cause an increase in glucose levels. Therefore, this is not the most likely reason for the increase in glucose levels.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.