ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 41 : Antitubercular Drugs Questions
Question 1 of 5
The nurse is counseling a woman who will be starting rifampin as part of antitubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient?
Correct Answer: C
Rationale: Women taking oral contraceptives and rifampin need to be counselled about other forms of birth control because of the impaired effectiveness of the oral contraceptives during concurrent use of rifampin.
Question 2 of 5
The nurse is reviewing the medication administration record of a patient who is taking isoniazid. Which drug or drug class has a significant drug interaction with isoniazid?
Correct Answer: C
Rationale: Taking INH with phenytoin will cause decreased metabolism of the phenytoin, leading to increased drug effects. Pyridoxine is often given with isoniazid to prevent peripheral neuropathy. The other options are incorrect.
Question 3 of 5
A patient who has started drug therapy for tuberculosis wants to know how long he will be on the medications. Which response by the nurse is correct?
Correct Answer: C
Rationale: Drug therapy can last for up to 12 months if consistent drug therapy has been maintained. The other options are incorrect.
Question 4 of 5
The nurse is preparing to administer morning medications to a patient who has been newly diagnosed with tuberculosis. The patient asks, 'Why do I have to take so many different drugs?' Which response by the nurse is correct?
Correct Answer: B
Rationale: Recent treatment guidelines recommend the use of multiple medications because of the increasing presence of resistance. The other options are incorrect.
Question 5 of 5
A patient newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week calls the clinic and is very upset. He says, 'My urine is dark orange! What's wrong with me?' Which response by the nurse is correct?
Correct Answer: D
Rationale: Rifampin, one of the first-line drugs for TB, causes a red-orange-brown discoloration of urine, tears, sweat, and sputum. Patients need to be warned about this side effect. The other options are incorrect.