Deck 32: Antituberculars, Antifungals, Peptides, and Metronidazole

Question 1

A client is being treated with multidrug therapy for acute tuberculosis. The drug regimen includes streptomycin. What will be the highest priority nursing intervention while the client is being treated with streptomycin?

A) Assess urine output and kidney function.
B) Assess hearing acuity.
C) Monitor hepatic function.
D) Conduct an ECG to watch for changes.

Answer 1

Assess hearing acuity.

Question 2

A client asks the purpose for using isoniazid (INH) and rifampin (Rifadin) in combination to treat his tuberculosis. The nurse informs him that both agents are given:

A) to prevent side effects.
B) to prevent drug resistance.
C) to lengthen drug therapy.
D) for clients who are allergic to one of the antitubercular drugs.

Answer 2

to prevent drug resistance.

Question 3

The client is being treated with Metronidazole. She complains to the nurse of experiencing reddish brown urine. The nurse interprets this finding as a(n):

A) potentially life-threatening reaction to the medication.
B) symptom of an anaphylactic reaction to the medication.
C) sign that the medication dosage needs to be increased.
D) expected side effect of a high dose of the medication.

Answer 3

expected side effect of a high dose of the medication.

Question 4

The highest priority nursing intervention while the client is being treated with polymyxin B (Aerosporin) is frequent monitoring of:

A) blood glucose and fasting blood glucose levels.
B) liver enzymes and liver function studies.
C) serum creatinine levels and urinary output.
D) hydration and serum albumin levels.

Question 5

The nurse notes that the client has been placed on amphotericin B (Fungizone). Based on the medication being used, the nurse recognizes that the client has been diagnosed with a _____ infection.

A) mild fungal
B) severe fungal
C) mild bacterial
D) severe bacterial

Question 6

A client with tuberculosis is being monitored via periodic sputum testing. To obtain acid-fast bacilli, the nurse should plan to obtain the sputum specimen:

A) in the evening after dinner.
B) before sleep.
C) in the morning before breakfast.
D) before lunch and before the evening meal.

Question 7

The client has been diagnosed with candidiasis (thrush). The nurse anticipates that the client will be treated with:

A) co-trimoxazole.
B) pyrimethamine.
C) sulfamethoxazole.
D) fluconazole.

Question 8

The client is being treated with ketoconazole. He tells the nurse that he frequently self-medicates with echinacea. The highest priority instruction that the nurse should give the client is that the combination of the two medications:

A) should enhance the action of the ketoconazole.
B) should diminish the action of the ketoconazole.
C) may result in hepatotoxicity developing.
D) may result in nephrotoxicity developing.

Question 9

The client is being treated with rifapentine. The nurse plans to administer the medication every _____ hours.

A) 8
B) 16
C) 36
D) 72

Question 10

The client is being treated with isoniazid (INH). The highest priority nursing intervention is to frequently monitor:

A) liver enzymes.
B) red blood cell count.
C) serum creatinine level.
D) blood urea nitrogen level.

Question 11

A client is to receive amphotericin B (Fungizone). The nurse is planning care for the client based on the fact that this medication is administered via which route?

A) Oral
B) Intramuscular
C) Intravenous
D) Subcutaneous

Question 12

Nystatin (Mycostatin), a polyene antifungal drug, is frequently administered as an oral suspension for Candida infection in the mouth. Client instruction regarding the administration of nystatin is to:

A) dilute the oral suspension with water and then swallow the solution.
B) drink the oral suspension and follow with 4 ounces of water.
C) drink the oral suspension but do not follow with fluid or food.
D) swish the liquid in the mouth and then swallow or expel the suspension.

Question 13

A client is receiving IV caspofungin (Cancidas) for a severe Candida infection. During an infusion of the dose, the nurse notes a reddened area along the vein tract, and the client complains of pain. What is the highest priority nursing intervention?

A) Stop the infusion.
B) Speed up the infusion.
C) Administer an analgesic during the infusion.
D) Elevate the infusion extremity above the heart.

Question 14

Which assessment is most important when a client begins to receive an infusion of Amphotericin B (Fungizone)?

A) Count apical heart rate for 1 full minute.
B) Assess blood pressure for hypotension.
C) Assess lower extremity motor function.
D) Determine a change in pulse pressure.

Question 15

A patient with a seizure disorder is exposed to a person with tuberculosis. The patient is taking phenytoin (Dilantin) and prophylactic isoniazid (INH). Based on the interaction of the medications, the nurse anticipates that the effect of phenytoin will be:

A) significantly increased.
B) significantly decreased.
C) slightly increased.
D) negated completely.

Question 16

The client asks the nurse why more than one drug is needed to treat his TB. The most accurate response from the nurse is that single-drug therapy to treat tuberculosis:

A) is effective with fewer side effects.
B) is ineffective because of possible drug resistance.
C) requires a short period to achieve effectiveness.
D) is useful for clients with many allergies.

Question 17

A client taking isoniazid (INH) complains of "pins and needles" in her fingertips. The nurse would recommend vitamin _____ to treat this neuropathy.

A) C
B) B₆
C) D
D) B₁₂

Question 18

A client is diagnosed with tuberculosis. The nurse practitioner plans to treat the client's family. The nurse anticipates that which drug will be ordered?

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

Question 19

A client is to receive amphotericin B (Fungizone). Laboratory tests should be monitored when the client is receiving this potent antifungal drug. These tests include serum _____ levels.

A) calcium
B) potassium
C) albumin
D) glucose

Question 20

Which client would be highest priority to receive prophylactic antitubercular therapy?

A) Client who has been in close contact with a person having tuberculosis (TB)
B) Client with longstanding chronic liver disease
C) Healthcare professionals employed in health institutions
D) Family members of a client with TB, regardless of the type of contact

Question 21

The nurse is instructing the client on the proper way to self-administer nystatin. The client tells the nurse that he has been simply drinking a small amount of the medication from the bottle. The nurse explain to the client that the medication dosage should consist of 1 to 2:

A) teaspoons, swished and then swallowed.
B) teaspoons, swished and then expelled.
C) ounces, swallowed twice daily.
D) ounces, used to swab the oral cavity.