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A patient received a tuberculosis skin test injection of purified protein derivative (PPD) 72 hours ago. Which assessment finding of the test site does the nurse interpret as a positive reaction?
A patient with which findings requires drug therapy for active tuberculosis (TB)?
How long is the minimum course of drug therapy for an immunocompetent patient with active tuberculosis?
A patient with active tuberculosis who has been taking isoniazid (INH, Nydrazid) and rifampin (RIF, Rifadin) reports having urine that is an orange color. What is the nurses best action?
A male patient who has been prescribed isoniazid (INH, Nydrazid) reports that his breasts have enlarged since starting therapy. What is the nurses best response?
Which statement made by a patient indicates to the nurse the need for more teaching about first-line drug therapy for tuberculosis (TB)?
What is the most important question the nurse must ask a patient before administering rifampin (RIF) intravenously?
A patient is prescribed 420 mg of rifampin to be added to 500 mL of dextrose 5% in water (D5W). The vial contains rifampin 60 mg/mL. How many milliliters does the nurse add to the D5W?
A patient has been prescribed all four first-line drugs for tuberculosis (TB). Which laboratory blood value is most important for the nurse to report to the prescriber first?
Which administration technique does the nurse teach the family of a patient with memory problems for best adherence to first-line drug therapy for tuberculosis?
Which precaution is most important for the nurse to teach a patient who is prescribed isoniazid (INH, Nydrazid)?
A patient who is prescribed ethambutol (EMB, Myambutol) reports trouble distinguishing colors. What is the nurses best action?
Why are the side effects of antifungal therapy often more common and severe than for other types of anti-infective drugs?
A patient prescribed a systemic antifungal drug reports a change in how food tastes. What is the nurses best action?
A patient taking ketoconazole (Nizoral) for the last 2 weeks has all of the following blood laboratory test values. Which value does the nurse report to the prescriber immediately?
A patient about to start systemic antifungal therapy has a white blood cell (WBC) count of 3200 cells/mm3. Which antifungal drug must be avoided for this patient?
A patient is prescribed 50 mg of amphotericin B (Fungizone) by intravenous infusion in 500 mL of dextrose 5% in water (D5W) over 6 hours. How many milliliters per minute does the nurse set the pump to infuse?
A patient is receiving IV amphotericin B (Fungizone) for a systemic fungal infection. Which assessment parameter does the nurse perform to determine whether the patient is having an adverse reaction to the therapy?
A patient is prescribed amphotericin B (Fungizone) 400 mg intravenously. How fast does the nurse infuse this drug?
A patient who has been prescribed flucytosine (Ancobon) reports reduced sensation in the fingers and toes. What is the nurses best action?
Which food, drink, or herbal supplement does the nurse warn a patient who is prescribed any of the azole class of antifungal drugs to avoid?
[Multiple Response] A pregnant patient is taking all four first-line drugs for tuberculosis (TB). Which additional health care actions are needed for this patient? (Select all that apply.)
a. Ensuring that no weight is gained
b. Checking liver function tests monthly
c. Checking vision and intraocular pressure monthly
d. Testing urine for the presence of the TB organism
e. Supplementing with B-complex vitamins
f. Avoiding alcoholic beverages
[Multiple Response] Which precautions are important to teach a woman using a vaginal cream form of an antifungal drug? (Select all that apply.)
a. Wear gloves to insert the cream.
b. Wash the applicator with soap and water.
c. Do not tub bathe until treatment is completed.
d. Avoid sexual intercourse during the treatment period.
e. Remind the patient that the cream can make holes in a condom or diaphragm.
f. Stop the drug immediately if you think you are pregnant. g. Stop the drug when symptoms have disappeared to avoid unnecessary exposure to it.
[Multiple Response] A patient is receiving IV caspofungin (Cancidas). Which assessments are most important for the nurse to perform daily? (Select all that apply.)
a. Assessing both calves for swelling, redness, and pain
b. Examining the skin for rash and blisters
c. Assessing capillary refill in fingers and toes
d. Assessing the injection site for irritation or phlebitis
e. Reviewing laboratory reports of white blood cell counts
f. Listening for bowel sounds in all four abdominal quadrants g. Reviewing laboratory reports for blood urea nitrogen (BUN) and creatinine
[Multiple Response] An older adult patient is prescribed systemic antifungal therapy for 1 month. Which precautions are important for the nurse to teach this patient? (Select all that apply.)
a. Avoid drinking coffee or any other beverages or food that contain caffeine.
b. Check your pulse daily and report any new irregularities to your prescriber.
c. Examine all bowel movements and any vomit for the presence of pus and report it to your prescriber.
d. Look at the whites of your eyes daily and if a yellow color appears, report it to your prescriber.
e. If your daily urine output drops below a liter less than your daily fluid intake, notify your prescriber immediately.
f. If you should develop abdominal bloating and diarrhea, go to the nearest emergency department as soon as possible.