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Pharmacology for Nursing Care 6th Edition Lehne Test Bank

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Pharmacology for Nursing Care 6th Edition Lehne Test Bank

ISBN-13: 978-1416025528

ISBN-10: 1416025529

Description

Pharmacology for Nursing Care 6th Edition Lehne Test Bank

ISBN-13: 978-1416025528

ISBN-10: 1416025529

 

 

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Free Nursing Test Questions:

 

Lehne: Pharmacology for Nursing Care, 6th Edition

Chapter 89: Antimycobacterial Agents: Drugs for Tuberculosis, Leprosy, and Mycobacterium avium Complex Infection

 

  1. A patient is beginning therapy for active tuberculosis. The patient asks, “Why do I have to take so many drugs?” What is the nurse’s best response?
  2. “When a case is severe enough, multiple drugs are required.”
  3. “The more agents used, the shorter the duration of the therapy.”
  4. “Multiple agents prevent the emergence of resistant organisms.”
  5. “It is assumed that patients take about 50% of the prescribed drug.”

 

 

Correct Answer: 3

Cognitive Level: Analysis

Nursing Process: Implementation

NCLEX: Physiological Integrity

Text Reference: p. 1015

 

  1. The induction phase of active tuberculosis therapy:
  2. begins after the continuation phase is completed.
  3. comprises the first 2 months of drug treatment.
  4. generally consists of a single active agent.
  5. lasts 4 to 6 months.

 

 

Correct Answer: 2

Cognitive Level: Comprehension

Nursing Process: Planning

NCLEX: Physiological Integrity

Text Reference: p. 1016

 

  1. The nurse describes a typical course of therapy to a newly diagnosed patient with active tuberculosis. Which description is the most accurate?
  2. “The course of therapy generally lasts 1 year. Four drugs are required during that period.”
  3. “Most patients require 4 full months of therapy, followed by 1 year of weekly tuberculin skin tests.”
  4. The four-drug regimen should last for 4 weeks; if the radiograph is normal, the medications are discontinued.”
  5. “The entire course should take 6 months—the first 2 months with four drugs, and the last 4 months with two drugs.”

 

 

Correct Answer: 4

Cognitive Level: Analysis

Nursing Process: Implementation

NCLEX: Physiological Integrity

Text Reference: pp. 1016-1017

 

  1. A patient is diagnosed with multidrug-resistant tuberculosis. When the patient asks about the length of the treatment regimen, the nurse’s best response is which of the following?
  2. “After the sputum is converted to negative for TB organisms, the therapy continues for 12 to 24 months.”
  3. “The entire course of therapy will last 3 to 6 months or until the chest radiograph is normal.”
  4. “Therapy is indefinite because there is no method of determining responsiveness.”
  5. “No therapy is completely effective in multidrug-resistant tuberculosisRemember, treatment is needed for several years.”

 

 

Correct Answer: 1

Cognitive Level: Application

Nursing Process: Implementation

NCLEX: Physiological Integrity

Text Reference: p. 1016

 

  1. The nurse manages care for a patient with HIV/AIDS who has taken protease inhibitors for 18 months. The patient is now diagnosed with active TB. The addition of rifampin as part of the new antituberculosis regimen is:
  2. the most effective combination of agents for these two infections.
  3. contraindicated because the rifampin will decrease the effects of the protease inhibitor.
  4. not required because the protease inhibitor will treat both infections.
  5. likely to require a decrease in the protease inhibitor dosage.

 

 

Correct Answer: 2

Cognitive Level: Analysis

Nursing Process: Analysis

NCLEX: Physiological Integrity

Text Reference: p. 1017

 

  1. An adult has active tuberculosis diagnosed by sputum examination and culture. In evaluating the patient’s response to therapy, the nurse will want to see which finding?
  2. An improved radiograph within 3 months
  3. The absence of symptoms by 8 weeks
  4. A return to a negative skin test by 4 weeks
  5. A negative CT scan by 2 weeks

 

 

Correct Answer: 1

Cognitive Level: Application

Nursing Process: Evaluation

NCLEX: Physiological Integrity

Text Reference: p. 1017

 

  1. The nurse assesses a PPD on the forearm of a patient being screened for employment in an outpatient clinic. The induration is 4 mm. How should this finding be interpreted?
  2. Negative, insignificant
  3. Moderately significant, requiring chest radiograph
  4. Moderately significant, requiring sputum culture
  5. Significant, requiring treatment

 

 

Correct Answer: 1

Cognitive Level: Analysis

Nursing Process: Evaluation

NCLEX: Physiological Integrity

Text Reference: p. 1017

 

  1. A patient being followed for latent tuberculosis has been on INH therapy for 2 months. When reviewing the laboratory tests, the nurse notes that the liver function test results have become grossly abnormal. The nurse will instruct the patient to:
  2. continue the drug unless jaundice, nausea, or itching develops.
  3. continue the drug and have liver function tests repeated weekly.
  4. stop the medication immediately. Other drugs will be prescribed.
  5. stop the drug and restart when liver function returns to normal.

 

 

Correct Answer: 3

Cognitive Level: Analysis

Nursing Process: Implementation

NCLEX: Physiological Integrity

Text Reference: p. 1020

 

  1. A patient starting INH for latent tuberculosis should be monitored for peripheral neuropathy. Which symptom or sign would alert the nurse to its development?
  2. Cramps in the back when walking up steps
  3. Headaches and lightheadedness on awakening
  4. Dry mouth and difficulty swallowing solids
  5. Difficulty buttoning shirts

 

 

Correct Answer: 4

Cognitive Level: Analysis

Nursing Process: Evaluation

NCLEX: Physiological Integrity

Text Reference: p. 1020

 

  1. The nurse instructs a patient about scheduling rifampin doses. The best advice for this patient is to:
  2. always take the drug on an empty stomach.
  3. take the drug with meals.
  4. take the drug within 30 minutes after a meal.
  5. take the drug without regard to meals.

 

 

Correct Answer: 1

Cognitive Level: Application

Nursing Process: Implementation

NCLEX: Physiological Integrity

Text Reference: p. 1021

 

  1. A nurse manages the care of a patient on rifampin for leprosy. The patient telephones, reporting, “My urine and saliva have looked an orange-red color for the past 2 days.” The nurse’s best response is which of the following?
  2. “This is consistent with an allergic response, and the drug should be stopped.”
  3. “Continue the drug for another week to see if the coloration returns to normal.”
  4. “Stop the drug, as it is likely that hepatitis has developed.”
  5. “This is a normal effect of the drug and is harmless.”

 

 

Correct Answer: 4

Cognitive Level: Analysis

Nursing Process: Implementation

NCLEX: Physiological Integrity

Text Reference: p. 1021

 

  1. While taking rifabutin a patient experiences the sudden onset of eye pain and blurred vision. The nurse suspects the development of:

 

 

Correct Answer: 2

Cognitive Level: Application

Nursing Process: Analysis

NCLEX: Physiological Integrity

Text Reference: p. 1022

 

  1. As a component of a multidrug regimen for tuberculosis, a patient is taking pyrazinamide. The nurse would question this drug in the regimen if the patient has a history of:
  2. migraine headaches.
  3. contact lens use.

 

 

Correct Answer: 1

Cognitive Level: Application

Nursing Process: Assessment

NCLEX: Physiological Integrity

Text Reference: p. 1022

 

  1. Patients on streptomycin for tuberculosis should be monitored for the development of:
  2. hearing loss.
  3. urinary retention.

 

 

Correct Answer: 2

Cognitive Level: Application

Nursing Process: Planning

NCLEX: Physiological Integrity

Text Reference: p. 1023

 

  1. Which statement by a patient indicates a correct understanding of teaching regarding ethambutol?
  2. “Dizziness, drowsiness, and decreased urinary output are common with this drug, but they will subside over time.”
  3. “Constipation will be a problemRemember, I will increase the fiber in my diet.”
  4. “I will need to have my eyes checked periodically while I am taking this drug.”
  5. “This medication may cause my bodily secretions to turn bluish-green.”

 

 

Correct Answer: 3

Cognitive Level: Analysis

Nursing Process: Evaluation

NCLEX: Physiological Integrity

Text Reference: p. 1023

 

  1. When monitoring a patient on cycloserine, the nurse should:
  2. obtain a urine sample 12 hours after administration.
  3. draw a serum level 2 hours after administration.
  4. measure the drug level in a 24-hour urine sample.
  5. draw a serum level immediately before the next dose is due.

 

 

Correct Answer: 2

Cognitive Level: Application

Nursing Process: Assessment

NCLEX: Physiological Integrity

Text Reference: p. 1024

 

  1. In the treatment of leprosy, rifampin is generally administered:
  2. twice daily.
  3. twice weekly.

 

 

Correct Answer: 4

Cognitive Level: Application

Nursing Process: Implementation

NCLEX: Physiological Integrity

Text Reference: p. 1025

 

  1. Patients treated with clofazimine for leprosy must be closely monitored for the development of:
  2. a blue tint to urine and feces.
  3. intestinal obstruction.
  4. hair loss.
  5. vitamin deficiencies.

 

 

Correct Answer: 2

Cognitive Level: Application

Nursing Process: Assessment

NCLEX: Physiological Integrity

Text Reference: p. 1025

 

  1. How is a definitive diagnosis of tuberculosis made? You may select more than one answer.
  2. Tuberculin skin testing
  3. Chest radiographs
  4. Microscopic examination of sputum
  5. Chronic cough
  6. Night sweats

 

 

Correct Answers: 2, 3

Cognitive Level: Application

Nursing Process: Analysis

NCLEX: Physiological Integrity

Text Reference: p. 1015

 

  1. When assessing a patient for adverse reactions to the combination of isoniazid and rifampin, the nurse would monitor which laboratory results? You may select more than one answer.
  2. Liver function tests
  3. CBC
  4. Creatinine clearance
  5. Uric acid levels
  6. Calcium levels

 

Correct Answers: 1, 2

Cognitive Level: Application

Nursing Process: Evaluation

NCLEX: Physiological Integrity

Text Reference: pp. 1020-1021

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