Question 1

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?

Accepted Answer

A)  Ciprofloxacin (Cipro) 
B)  Ethambutol (Myambutol) 
C)  Kanamycin
D)  Streptomycin sulfate B

Question 2

A patient who is taking metronidazole (Flagyl)reports reddish-brown urine.Which action will the nurse take?

Accepted Answer

A)  Obtain an order for BUN and creatinine levels.
B)  Reassure the patient that this is a harmless effect.
C)  Request an order for a urinalysis.
D)  Test her urine for occult blood. B

Question 3

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

Accepted Answer

A)  Anidulafungin (Eraxis) 
B)  Fluconazole (Diflucan) 
C)  Griseofulvin (Fulvicin) 
D)  Ketoconazole (Nizoral)  C

Question 4

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

Accepted Answer

A)  "Take the medicine twice daily."
B)  "Take the medication with food."
C)  "You may consume small amounts of alcohol."
D)  "You will not need lab tests while taking this drug."

Question 5

A patient who is taking isoniazid (INH)as part of a two-drug tuberculosis treatment regimen reports tingling of the fingers and toes.The nurse will recommend discussing which treatment with the provider?

Accepted Answer

A)  Adding pyrazinamide
B)  Changing to ethambutol
C)  Increasing oral fluid intake
D)  Taking pyridoxine (B6)

Question 6

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?

Accepted Answer

A)  Complete blood count (CB
C)   with differential white cell count
B)  Blood urea nitrogen (BUN)  and creatinine
C)  Potassium and magnesium levels
D)  Serum fasting glucose

Question 7

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

Accepted Answer

A)  drug resistance has probably occurred.
B)  it may be another month before this test is negative.
C)  the provider will change the pyrazinamide to ethambutol.
D)  there may be a need to remain in the first phase of therapy for several weeks.

Question 8

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

Accepted Answer

A)  a chest x-ray.
B)  a TB skin test.
C)  liver function tests (LFTs) .
D)  prophylactic antitubercular drugs.

Question 9

A young adult female who is taking metronidazole (Flagyl)to treat trichomoniasis calls the nurse to report severe headache,flushing,palpitations,cramping,and nausea.What will the nurse do next?

Accepted Answer

A)  Ask about alcohol consumption.
B)  Reassure her that these are harmless side effects.
C)  Tell her that this signals a worsening of her infection.
D)  Tell her to go to the emergency department immediately.

Question 10

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

Accepted Answer

A)  disease relapse.
B)  drug hypersensitivity reactions.
C)  drug resistance.
D)  drug adverse effects.

Question 11

Which person should be treated with prophylactic antitubercular medication?

Accepted Answer

A)  A child who attends the same school with a child who has tuberculosis
B)  A nurse who is working in a hospital
C)  An individual who is HIV-positive with a negative TB skin test
D)  A patient who has close contact with someone who has tuberculosis

Question 12

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?

Accepted Answer

A)  Blood urea nitrogen (BUN)  and creatinine
B)  Electrolytes
C)  Fluconazole levels
D)  Glucose

Question 13

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?

Accepted Answer

A)  Isoniazid (INH) 
B)  Pyrazinamide
C)  Rifampin (Rifadin) 
D)  Streptomycin

Question 14

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

Accepted Answer

A)  "Amphotericin B may be given intravenously or by mouth."
B)  "Patients who take this drug should have potassium and magnesium levels assessed."
C)  "Patients with renal disease should not take amphotericin B."
D)  "This drug is used for severe systemic infections."

Question 15

Which topical antifungal medication is used to treat vaginal candidiasis?

Accepted Answer

A)  Haloprogin (Halotex) 
B)  Miconazole (Monistat) 
C)  Oxiconazole (Oxistat) 
D)  Terbenafine HCl (Lamisil)

Question 16

A client is being treated for tuberculosis.Which medications are used to treat this condition? (Select all that apply.)

Accepted Answer

A)  Streptomycin sulfate
B)  Amoxicillin (Amoxil) 
C)  Ethambutol (Myambutol) 
D)  Gentamicin (Garamycin) 
E)   Rifabutin (Mycobutin) F)  Ethionamide (Trecator-S
C)  G)  Pyrazinamide

Question 17

A patient who has oral candidiasis will begin using nystatin suspension to treat the infection.What information will the nurse include when teaching this patient?

Accepted Answer

A)  "Coat the buccal mucosa with the drug and then rinse your mouth."
B)  "Gargle with the nystatin and then spit it out without swallowing."
C)  "Mix the suspension with 4 ounces of water and then drink it."
D)  "Swish the liquid in your mouth and then swallow after a few minutes."

Question 18

The nurse is preparing to administer an intravenous polymyxin antibiotic.The patient reports dizziness along with numbness and tingling of the hands and feet.The nurse will perform which action?

Accepted Answer

A)  Administer the drug since these are harmless side effects.
B)  Hold the drug and notify the provider of these adverse reactions.
C)  Obtain an order for an oral form of this medication.
D)  Request an order for serum electrolytes.

Question 19

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?

Accepted Answer

A)  Metronidazole (Flagyl) 
B)  Micafungin (Mycamine) 
C)  Posaconazole (Noxafil) 
D)  Voriconazole (Vfend)

Question 20

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

Accepted Answer

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."

Exam 32: Antituberculars, Antifungals, Peptides, and Metronidazole

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 is taking metronidazole (Flagyl) reports reddish-brown urine.Which action will the nurse take?