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?

Accepted Answer

Streptomycin is ototoxic and warrants monitoring of hearing function.

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:

Accepted Answer

Multiple agents are necessary because of the ability of the TB bacteria to mutate and become antibiotic resistant.

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):

Accepted Answer

High doses of Metronidazole may cause the client to develop reddish brown urine.

Question 4

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

Accepted Answer

Creatinine levels and urine output assess renal function associated with the nephrotoxicity that can be caused by polymyxin B.

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.

Accepted Answer

Because of the significant side effects associated with this medication, it is reserved for severe fungal infections.

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:

Accepted Answer

An early morning sputum sample is easier to obtain and will not be contaminated with food.

Question 7

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

Accepted Answer

Fluconazole is a potent medication for yeast/fungal infections.

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:

Accepted Answer

The combination of ketoconazole and echinacea may result in hepatotoxicity.

Question 9

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

Accepted Answer

The drug should be given every 72 hours.

Question 10

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

Accepted Answer

INH may lead to hepatotoxicity. This may be monitored by determining liver enzyme levels.

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?

Accepted Answer

This medication is not absorbed well by the GI tract and therefore must be given IV.

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:

Accepted Answer

Contact with the infected lesions is ensured by the client swishing the liquid in the mouth and then swallowing or expelling 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?

Accepted Answer

Redness and pain along the vein tract may mean phlebitis. The IV infusion must be discontinued.

Question 14

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

Accepted Answer

This medication may cause hypotension, and it must be monitored closely.

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:

Accepted Answer

INH is known to decrease the effectiveness of phenytoin.

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:

Accepted Answer

Multidrug therapy is more effective than single-drug therapy because of problems with drug resistance.

Question 17

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

Accepted Answer

INH impairs vitamin B₆ absorption, so vitamin B₆is supplemented to treat and prevent peripheral neuropathy.

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?

Accepted Answer

INH is the drug of choice in exposed family members who are not immunocompromised.

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.

Accepted Answer

This medication can cause significant hypomagnesemia and hypokalemia.

Question 20

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

Accepted Answer

Personal contact with a person having a diagnosis of tuberculosis is required to indicate prophylactic treatment with antitubercular therapy.

Quiz 32: Antituberculars, Antifungals, Peptides, and Metronidazole

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 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:

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) :

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

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

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

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:

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

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

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?

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 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?

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

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:

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

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 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.

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