Chapter 41: Antitubercular Drugs

Chapter 41: Antitubercular Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is discussing adverse effects of antitubercular drugs with a patient who has active tuberculosis. Which potential adverse effect of antitubercular drug therapy should the patient report to the prescriber?

a.	Gastrointestinal upset
b.	Headache and nervousness
c.	Reddish-orange urine and stool
d.	Numbness and tingling of extremities

 

 

ANS:  D

Patients on antitubercular therapy should report experiencing numbness and tingling of extremities, which may indicate peripheral neuropathy. Some drugs may color the urine, stool, and other body secretions reddish-orange, but this is not an effect that needs to be reported. Patients need to be informed of this expected effect. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 668

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine. She is wondering why she needs this medication. The nurse explains that pyridoxine is often given concurrently with the isoniazid to prevent which condition?

a.	Hair loss
b.	Renal failure
c.	Peripheral neuropathy
d.	Heart failure

 

 

ANS:  C

Pyridoxine (vitamin B₆) may be beneficial for isoniazid-induced peripheral neuropathy. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 687

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

3. The nurse will assess the patient for which potential contraindication to antitubercular therapy?

a.	Glaucoma
b.	Anemia
c.	Heart failure
d.	Hepatic impairment

 

 

ANS:  D

Results of liver function studies (e.g., bilirubin level, liver enzyme levels) need to be assessed because isoniazid and rifampin may cause hepatic impairment; severe liver dysfunction is a contraindication to these drugs. In addition, the patient’s history of alcohol use needs to be assessed.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 662

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

4. When monitoring patients on antitubercular drug therapy, the nurse knows that which drug may cause a decrease in visual acuity?

a.	Rifampin (Rifadin)
b.	Isoniazid (INH)
c.	Ethambutol (Myambutol)
d.	Streptomycin

 

 

ANS:  C

Ethambutol may cause a decrease in visual acuity or even blindness resulting from retrobulbar neuritis. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 664

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies