Deck 32: Antituberculars, Antifungals, Peptides, and Metronidazole

Question 1

A patient who has completed the first phase of a three-drug regimen for tuberculosis has a positive sputum acid-bacilli test.The nurse will tell the patient that

A)drug resistance has probably occurred.
B)it may be another month before this test is negative.
C)the provider will change the pyrazinamide to ethambutol.
D)there may be a need to remain in the first phase of therapy for several weeks.

Answer 1

it may be another month before this test is negative.

Question 2

Which topical antifungal medication is used to treat vaginal candidiasis?

A)Haloprogin (Halotex)
B)Miconazole (Monistat)
C)Oxiconazole (Oxistat)
D)Terbenafine HCl (Lamisil)

Answer 2

Miconazole (Monistat)

Question 3

A patient is diagnosed with histoplasmosis and will begin taking ketoconazole.What information will the nurse include when teaching this patient about this medication?

A)"Take the medicine twice daily."
B)"Take the medication with food."
C)"You may consume small amounts of alcohol."
D)"You will not need lab tests while taking this drug."

Answer 3

"Take the medication with food."

Question 4

The nurse is teaching a patient about rifampin.Which statement by the patient indicates understanding of the teaching?

A)"I should not wear soft contact lenses while taking rifampin."
B)"I will need regular eye examinations while taking this drug."
C)"I will report orange urine to my provider immediately."
D)"I understand that renal toxicity is a common adverse effect."

Question 5

A patient who has AIDS is at risk to contract aspergillosis.The nurse will anticipate that which antifungal medication will be ordered prophylactically for this patient?

A)Metronidazole (Flagyl)
B)Micafungin (Mycamine)
C)Posaconazole (Noxafil)
D)Voriconazole (Vfend)

Question 6

A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis.Before administering this medication,the nurse will review which laboratory values in the patient's medical record?

A)Complete blood count (CBC) with differential white cell count
B)Blood urea nitrogen (BUN) and creatinine
C)Potassium and magnesium levels
D)Serum fasting glucose

Question 7

The nurse is teaching a nursing student about the antifungal drug amphotericin B.Which statement by the student indicates a need for further teaching?

A)"Amphotericin B may be given intravenously or by mouth."
B)"Patients who take this drug should have potassium and magnesium levels assessed."
C)"Patients with renal disease should not take amphotericin B."
D)"This drug is used for severe systemic infections."

Question 8

A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB).The nurse will counsel this patient to contact the provider to discuss

A)a chest x-ray.
B)a TB skin test.
C)liver function tests (LFTs).
D)prophylactic antitubercular drugs.

Question 9

A young adult female who is taking metronidazole (Flagyl)to treat trichomoniasis calls the nurse to report severe headache,flushing,palpitations,cramping,and nausea.What will the nurse do next?

A)Ask about alcohol consumption.
B)Reassure her that these are harmless side effects.
C)Tell her that this signals a worsening of her infection.
D)Tell her to go to the emergency department immediately.

Question 10

The nurse is caring for a patient who is diagnosed with tuberculosis.The patient tells the nurse that the provider plans to order a prophylactic antitubercular drug for family members and asks which drug will be ordered.The nurse will expect the provider to order which drug?

A)Isoniazid (INH)
B)Pyrazinamide
C)Rifampin (Rifadin)
D)Streptomycin

Question 11

A patient is diagnosed with tinea capitis.The provider will order which systemic antifungal medication for this patient?

A)Anidulafungin (Eraxis)
B)Fluconazole (Diflucan)
C)Griseofulvin (Fulvicin)
D)Ketoconazole (Nizoral)

Question 12

Which person should be treated with prophylactic antitubercular medication?

A)A child who attends the same school with a child who has tuberculosis
B)A nurse who is working in a hospital
C)An individual who is HIV-positive with a negative TB skin test
D)A patient who has close contact with someone who has tuberculosis

Question 13

The nurse is preparing to administer an intravenous polymyxin antibiotic.The patient reports dizziness along with numbness and tingling of the hands and feet.The nurse will perform which action?

A)Administer the drug since these are harmless side effects.
B)Hold the drug and notify the provider of these adverse reactions.
C)Obtain an order for an oral form of this medication.
D)Request an order for serum electrolytes.

Question 14

A patient is being treated with isoniazid (INH),rifampin,and pyrazinamide in phase I of treatment for tuberculosis.The organism develops resistance to isoniazid.Which drug will the nurse anticipate the provider will order to replace the isoniazid?

A)Ciprofloxacin (Cipro)
B)Ethambutol (Myambutol)
C)Kanamycin
D)Streptomycin sulfate

Question 15

The nurse caring for a patient who has tuberculosis and who is taking isoniazid,rifampin,and streptomycin reviews the medical record and notes the patient's sputum cultures reveal resistance to streptomycin.The nurse will anticipate that the provider will take which action?

A)Add ethambutol (Myambutol).
B)Change the streptomycin to clarithromycin.
C)Change the streptomycin to kanamycin.
D)Order renal function tests.

Question 16

A patient who takes an oral sulfonylurea medication will begin taking fluconazole (Diflucan).The nurse will expect to monitor which lab values in this patient?

A)Blood urea nitrogen (BUN) and creatinine
B)Electrolytes
C)Fluconazole levels
D)Glucose

Question 17

A patient who has oral candidiasis will begin using nystatin suspension to treat the infection.What information will the nurse include when teaching this patient?

A)"Coat the buccal mucosa with the drug and then rinse your mouth."
B)"Gargle with the nystatin and then spit it out without swallowing."
C)"Mix the suspension with 4 ounces of water and then drink it."
D)"Swish the liquid in your mouth and then swallow after a few minutes."

Question 18

A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease.The nurse will explain that multi-drug therapy is used to reduce the likelihood of

A)disease relapse.
B)drug hypersensitivity reactions.
C)drug resistance.
D)drug adverse effects.

Question 19

A patient who is taking isoniazid (INH)as part of a two-drug tuberculosis treatment regimen reports tingling of the fingers and toes.The nurse will recommend discussing which treatment with the provider?

A)Adding pyrazinamide
B)Changing to ethambutol
C)Increasing oral fluid intake
D)Taking pyridoxine (B₆)

Question 20

A patient who is taking metronidazole (Flagyl)reports reddish-brown urine.Which action will the nurse take?

A)Obtain an order for BUN and creatinine levels.
B)Reassure the patient that this is a harmless effect.
C)Request an order for a urinalysis.
D)Test her urine for occult blood.

Question 21

A client is being treated for tuberculosis.Which medications are used to treat this condition? (Select all that apply.)

A)Streptomycin sulfate
B)Amoxicillin (Amoxil)
C)Ethambutol (Myambutol)
D)Gentamicin (Garamycin)
E) Rifabutin (Mycobutin)
F) Ethionamide (Trecator-SC)
G) Pyrazinamide