Question 1

The nurse correctly understands that the first two months of drugs therapy for tuberculosis should include: (Select all that apply.)

Accepted Answer

A,B,C,D

Question 2

The nursing student would be correct in identifying which of the following as the expected duration for pharmacological management of lepromatous leprosy?

Accepted Answer

B

Question 3

Treatment of Mycobacterium avium complex (MAC)should include which class of antibiotics?

Accepted Answer

Macrolides, such as azithromycin and clarithromycin, are the cornerstone of treatment for Mycobacterium avium complex (MAC) infections, often used in combination with other drugs for effective therapy.

Question 4

The nurse is reading the client's medical history, and learns that the client has a history of infections with Mycobacterium scrofulaceum.Based on this finding, the nurse would expect the patient to be from which age group?

Accepted Answer

Mycobacterium scrofulaceum primarily affects children, especially those between 1-3 years old, causing lymphadenitis. It is less common in other age groups.

Question 5

The nurse is implementing direct observance therapy (DOT).The nursing student asks what this means.The nurse correctly responds by saying:

Accepted Answer

The answer of The nurse is implementing direct observance therapy...

Question 6

Mycobacterium avium complex (MAC)primarily attacks the:

Accepted Answer

Mycobacterium avium complex (MAC) primarily affects the lungs, especially in individuals with underlying lung diseases or immunocompromised states, such as those with HIV/AIDS.

Question 7

The nurse is teaching a community course at a local senior citizen center regarding leprosy.The nurse would be correct in informing the class that clients acquire Mycobacterium leprae by which route?

Accepted Answer

The answer of The nurse is teaching a community course...

Question 8

The substance present in Mycobacterium that protects it from disinfectants, including chlorinated water, is:

Accepted Answer

The answer of The substance present in Mycobacterium that protects...

Question 9

Which of the following medications is considered the mainstay of pharmacological intervention in the client with tuberculosis, and is included in all regimens?

Accepted Answer

Isoniazid is considered the mainstay of pharmacological intervention in tuberculosis and is included in all treatment regimens due to its effectiveness in killing actively growing tubercle bacilli.

Question 10

In a postprimary or reactivation-stage infection, the most common non respiratory infection sites are the:

Accepted Answer

In the postprimary or reactivation stage of tuberculosis, the bacteria can spread beyond the lungs to other parts of the body. The lymph nodes and genitourinary system are among the most common non-respiratory sites affected during this stage of the infection.

Question 11

For the patient on tuberculosis treatment, the priority assessment at monthly exams should include the monitoring of:

Accepted Answer

Liver function tests are crucial for patients on tuberculosis treatment because many of the medications used, such as isoniazid and rifampin, can cause hepatotoxicity. Monitoring liver function helps in early detection of drug-induced liver injury.

Question 12

Which of the following medications is considered the mainstay of pharmacological intervention in the client with leprosy, and is included in all regimens?

Accepted Answer

Dapsone is the cornerstone drug in the treatment of leprosy and is included in all treatment regimens for this condition. It works by inhibiting bacterial synthesis of dihydrofolic acid.

Question 13

The client recently diagnosed with tuberculosis asks the nursing student why so many different pills are required to treat the infection.The student bases the response on the knowledge that:

Accepted Answer

Mycobacterium tuberculosis, the bacterium that causes tuberculosis, has a slow growth rate and a high potential for developing resistance to antibiotics. Using multiple drugs in the treatment regimen helps prevent the development of drug-resistant strains of the bacteria, ensuring a more effective treatment.

Question 14

The nurse is teaching a community course at a local senior citizen center regarding tuberculosis.The nurse would be correct in informing the class that patients acquire Mycobacterium tuberculosis by which route?

Accepted Answer

Mycobacterium tuberculosis is primarily spread through the air when an infected person coughs, sneezes, speaks, or sings, and another person inhales the respiratory droplets containing the bacteria.

Question 15

Symptoms of tuberculosis infection include: (Select all that apply.)

Accepted Answer

Tuberculosis infection commonly presents with symptoms such as anorexia, weight loss, night sweats, and fatigue. High fever and non-productive cough can occur, but they are not as characteristic as the other symptoms listed.

Question 16

Mycobacterium avium complex (MAC)infections are believed to be spread via which route?

Accepted Answer

MAC infections are primarily spread through inhalation of aerosolized water or dust particles from contaminated soil or water sources.

Question 17

The client recently diagnosed with tuberculosis asks the nursing student why members of his family also will be treated.The nursing student bases the response based on which fact?

Accepted Answer

The medication given to family members of a person diagnosed with tuberculosis is preventative, aiming to prevent the development of the disease if they have been exposed to the bacteria. This is a common public health practice to control the spread of tuberculosis.

Question 18

Pregnant patients should also receive which of the following to help prevent peripheral neuropathy

Accepted Answer

Pyridoxine (vitamin B6) is recommended to help prevent peripheral neuropathy in pregnant patients, especially those at risk or those experiencing symptoms.

Question 19

The primary reason for lack of success in the treatment of tuberculosis is:

Accepted Answer

Client noncompliance is a major issue in tuberculosis treatment because it requires a long-term commitment to a strict medication regimen, and failure to adhere can lead to treatment failure and drug resistance.

Question 20

The nursing student would be correct in identifying which of the following as the expected duration for pharmacological management of tuberculosis?

Accepted Answer

The expected duration for pharmacological management of tuberculosis is typically 6-12 months, depending on the specific regimen and the patient's response to treatment. This extended period is necessary to fully eradicate the bacteria and prevent the development of drug-resistant strains.

Quiz 52: Pharmacotherapy of Mycobacterial Infections