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Exam 27: Antituberculars, Antifungals, and Antivirals

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Question 1

Multiple Choice

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The nurse caring for a patient who has tuberculosis and who is taking isoniazid, rifampin, and streptomycin reviews the medical record and notes the patient's sputum cultures reveal resistance to streptomycin. The nurse will anticipate that the provider will take which action?

A) Add ethambutol (Myambutol) .
B) Change the streptomycin to clarithromycin.
C) Change the streptomycin to kanamycin.
D) Order renal function tests.

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Question 2

Multiple Choice

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The nurse is teaching a patient about rifampin. Which statement by the patient indicates understanding of the teaching?

A) "I should not wear soft contact lenses while taking rifampin."
B) "I will need regular eye examinations while taking this drug."
C) "I will report orange urine to my provider immediately."
D) "I understand that renal toxicity is a common adverse effect."

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Question 3

Multiple Choice

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The nurse receives the following order for a patient who is diagnosed with herpes zoster virus: PO acyclovir (Zovirax) 400 mg TID for 7 to 10 days. The nurse will contact the provider to clarify which part of the order?

A patient is diagnosed with influenza and will begin taking a neuraminidase inhibitor. The nurse knows that this drug is effective when taken within how many hours of onset of flu symptoms?

A patient is diagnosed with histoplasmosis and will begin taking ketoconazole. What information will the nurse include when teaching this patient about this medication?

A patient who has AIDS is at risk to contract aspergillosis. The nurse will anticipate that which antifungal medication will be ordered prophylactically for this patient?

A patient calls the clinic in November to report a temperature of 103° F, headache, a nonproductive cough, and muscle aches. The patient reports feeling well earlier that day. The nurse will schedule the patient to see the provider and will expect the provider to order which medication?

A patient who has completed the first phase of a three-drug regimen for tuberculosis has a positive sputum acid-bacilli test. The nurse will tell the patient that:

The nurse is caring for a patient who is diagnosed with tuberculosis. The patient tells the nurse that the provider plans to order a prophylactic antitubercular drug for family members and asks which drug will be ordered. The nurse will expect the provider to order which drug?

A patient is diagnosed with tinea capitis. The provider will order which systemic antifungal medication for this patient?

A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis. Before administering this medication, the nurse will review which laboratory values in the patient's medical record?

A patient is being treated with isoniazid (INH) , rifampin, and pyrazinamide in phase I of treatment for tuberculosis. The organism develops resistance to isoniazid. Which drug will the nurse anticipate the provider will order to replace the isoniazid?

A patient who takes an oral sulfonylurea medication will begin taking fluconazole (Diflucan) . The nurse will expect to monitor which lab values in this patient?

Which person should be treated with prophylactic antitubercular medication?

The nurse receives an order to administer a purine nucleoside antiviral medication. The nurse understands that this medication treats which type of virus?

A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse will explain that multidrug therapy is used to reduce the likelihood of:

The nurse is teaching a nursing student about the antifungal drug amphotericin B. Which statement by the student indicates a need for further teaching?

The nurse is teaching a patient who will receive acyclovir for a herpes virus infection. What information will the nurse include when teaching this patient?

A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB) . The nurse will counsel this patient to contact the provider to discuss which of the following?

A patient who is taking acyclovir (Zovirax) to treat an oral HSV-1 infection asks the nurse why oral care is so important. The nurse will tell the patient that meticulous oral care helps to: