Podcast
Questions and Answers
A patient diagnosed with tuberculosis is prescribed isoniazid (INH). The nurse recognizes that pyridoxine (vitamin B6) is often co-prescribed with INH to prevent which side effect?
A patient diagnosed with tuberculosis is prescribed isoniazid (INH). The nurse recognizes that pyridoxine (vitamin B6) is often co-prescribed with INH to prevent which side effect?
- Hepatitis
- Skin rash
- Optic neuritis
- Peripheral neuropathy (correct)
The nurse is educating a patient on rifampin therapy for tuberculosis. Which statement indicates the patient needs further teaching?
The nurse is educating a patient on rifampin therapy for tuberculosis. Which statement indicates the patient needs further teaching?
- I need to take this medication exactly as prescribed to prevent resistance.
- I should report any unusual symptoms to my healthcare provider.
- I should expect red-orange discoloration of my urine and tears.
- I can wear my contact lenses as usual while taking this medication. (correct)
A patient on ethambutol therapy reports difficulty distinguishing between red and green colors. What is the nurse's best action?
A patient on ethambutol therapy reports difficulty distinguishing between red and green colors. What is the nurse's best action?
- Reassure the patient that this is a normal side effect.
- Advise the patient to increase dietary intake of vitamin B6.
- Instruct the patient to stop the medication immediately.
- Notify the healthcare provider for further evaluation. (correct)
A nurse is administering pyrazinamide to a patient with active tuberculosis. The nurse monitors for which primary adverse effect?
A nurse is administering pyrazinamide to a patient with active tuberculosis. The nurse monitors for which primary adverse effect?
A patient is prescribed Rifater (a combination of rifampin, isoniazid, and pyrazinamide) for tuberculosis. What is the purpose of using a combination therapy?
A patient is prescribed Rifater (a combination of rifampin, isoniazid, and pyrazinamide) for tuberculosis. What is the purpose of using a combination therapy?
A patient receiving isoniazid (INH) reports tingling and numbness in their hands and feet. What is the nurse's priority intervention?
A patient receiving isoniazid (INH) reports tingling and numbness in their hands and feet. What is the nurse's priority intervention?
The nurse is teaching a patient about the adverse effects of ethambutol. Which statement by the patient demonstrates correct understanding?
The nurse is teaching a patient about the adverse effects of ethambutol. Which statement by the patient demonstrates correct understanding?
A patient taking rifampin for tuberculosis asks why the medication must be taken as part of a combination regimen. What is the nurse's best response?
A patient taking rifampin for tuberculosis asks why the medication must be taken as part of a combination regimen. What is the nurse's best response?
During a follow-up visit, a patient on pyrazinamide therapy reports nausea and mild upper abdominal pain. What is the nurse's priority action?
During a follow-up visit, a patient on pyrazinamide therapy reports nausea and mild upper abdominal pain. What is the nurse's priority action?
A patient with tuberculosis asks why they must undergo visual acuity and color perception tests while taking ethambutol. What is the nurse's best response?
A patient with tuberculosis asks why they must undergo visual acuity and color perception tests while taking ethambutol. What is the nurse's best response?
A nurse is caring for a patient receiving Rifater. Which combination of medications does Rifater include?
A nurse is caring for a patient receiving Rifater. Which combination of medications does Rifater include?
A patient is started on tuberculosis therapy with multiple medications. The nurse emphasizes the importance of adherence to therapy. What is the primary reason for this instruction?
A patient is started on tuberculosis therapy with multiple medications. The nurse emphasizes the importance of adherence to therapy. What is the primary reason for this instruction?
Flashcards
Why is pyridoxine prescribed with isoniazid?
Why is pyridoxine prescribed with isoniazid?
Isoniazid (INH) can cause nerve damage (peripheral neuropathy) due to vitamin B6 deficiency. Vitamin B6 (pyridoxine) supplements help prevent this side effect.
Why should a patient on rifampin therapy use glasses?
Why should a patient on rifampin therapy use glasses?
Rifampin can cause red-orange discoloration in urine, tears, and even permanently stain contact lenses. Thus, patients should use glasses instead.
What should the nurse do if a patient on ethambutol reports vision problems?
What should the nurse do if a patient on ethambutol reports vision problems?
Ethambutol can cause optic neuritis, leading to difficulty distinguishing colors or reduced vision. A healthcare provider needs to evaluate the patient's vision and possibly adjust the medication.
What is the primary side effect of pyrazinamide?
What is the primary side effect of pyrazinamide?
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Why are combination therapies like Rifater used for tuberculosis?
Why are combination therapies like Rifater used for tuberculosis?
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What is the priority intervention for a patient on isoniazid who reports tingling and numbness?
What is the priority intervention for a patient on isoniazid who reports tingling and numbness?
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What should a patient taking ethambutol be instructed about regarding their vision?
What should a patient taking ethambutol be instructed about regarding their vision?
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Why is combination therapy important in tuberculosis treatment?
Why is combination therapy important in tuberculosis treatment?
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What is the nurse's priority action if a patient on pyrazinamide reports abdominal pain and nausea?
What is the nurse's priority action if a patient on pyrazinamide reports abdominal pain and nausea?
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Why are visual acuity and color perception tests important for patients taking ethambutol?
Why are visual acuity and color perception tests important for patients taking ethambutol?
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What medications are included in Rifater?
What medications are included in Rifater?
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Why is patient adherence crucial for tuberculosis therapy?
Why is patient adherence crucial for tuberculosis therapy?
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What medication is used to prevent peripheral neuropathy caused by isoniazid?
What medication is used to prevent peripheral neuropathy caused by isoniazid?
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What side effect of rifampin can affect contact lenses?
What side effect of rifampin can affect contact lenses?
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What visual side effect is associated with ethambutol?
What visual side effect is associated with ethambutol?
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What is a key side effect of pyrazinamide that requires monitoring?
What is a key side effect of pyrazinamide that requires monitoring?
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What is the main reason for using combination therapy for tuberculosis?
What is the main reason for using combination therapy for tuberculosis?
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What is the mechanism behind peripheral neuropathy caused by isoniazid?
What is the mechanism behind peripheral neuropathy caused by isoniazid?
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How can rifampin affect contact lens use?
How can rifampin affect contact lens use?
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What is the mechanism of action behind visual problems associated with ethambutol?
What is the mechanism of action behind visual problems associated with ethambutol?
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What organ is primarily affected by the adverse effects of pyrazinamide?
What organ is primarily affected by the adverse effects of pyrazinamide?
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How does combination therapy for tuberculosis work?
How does combination therapy for tuberculosis work?
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Why does isoniazid cause peripheral neuropathy?
Why does isoniazid cause peripheral neuropathy?
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How can rifampin impact contact lens use?
How can rifampin impact contact lens use?
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What is the link between ethambutol and vision changes?
What is the link between ethambutol and vision changes?
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What is the primary adverse effect of pyrazinamide?
What is the primary adverse effect of pyrazinamide?
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What is the benefit of using combination therapy for tuberculosis?
What is the benefit of using combination therapy for tuberculosis?
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Study Notes
Question 1
- Pyridoxine (vitamin B6) is often co-prescribed with isoniazid (INH) to prevent peripheral neuropathy.
- Hepatitis, optic neuritis, and skin rashes are not prevented by vitamin B6.
Question 2
- Rifampin therapy for tuberculosis can cause red-orange discoloration of urine and tears.
- Patients should not use contact lenses while taking rifampin.
- Patients should take the medication exactly as prescribed, to prevent resistance.
- Patients should report any unusual symptoms to their healthcare provider.
Question 3
- Patients on ethambutol therapy may experience difficulty distinguishing between red and green colors.
- Notify the healthcare provider for further evaluation.
- Ethambutol can cause optic neuritis, which may present as difficulty distinguishing colors or decreased visual acuity.
Question 4
- Hepatotoxicity is a primary adverse effect of pyrazinamide, which is monitored by liver function tests.
- Red-orange discoloration of body fluids is an adverse effect of rifampin.
- Peripheral neuropathy is an adverse effect of isoniazid.
- Optic neuritis is an adverse effect of ethambutol.
Question 5
- Rifater (combination therapy) is used to prevent drug resistance in tuberculosis.
- Combination therapies for tuberculosis can minimize therapy duration, improve patient compliance, and reduce side effects.
Question 6
- Tingling and numbness in hands and feet are symptoms of peripheral neuropathy.
- Administer pyridoxine (vitamin B6) as prescribed.
Question 7
- Patients should report any changes in vision to their healthcare provider when taking ethambutol.
- Ethambutol can cause optic neuritis.
- Red-orange discoloration is a side effect of rifampin.
- Tingling is a possible side effect of isoniazid.
Question 8
- Combination therapy helps prevent the development of drug resistance in tuberculosis.
- Rifampin can be effective on its own, but resistance develops quickly when not used with other drugs.
Question 9
- Assess liver function tests as a priority if a patient taking pyrazinamide reports nausea or mild upper abdominal pain.
- Monitoring liver function tests identifies potential liver damage (hepatotoxicity).
Question 10
- Conduct visual acuity and color perception tests before and during treatment to detect potential problems.
- Ethambutol can cause optic neuritis, which may result in vision changes, including decreased acuity and color blindness.
Question 11
- Rifater contains rifampin, pyrazinamide, and isoniazid.
Question 12
- Adherence is important to avoid the development of multidrug-resistant tuberculosis.
- Multiple medications are used to ensure more effective treatment.
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Description
This quiz covers important information regarding the pharmacological properties and side effects of antitubercular medications such as isoniazid, rifampin, ethambutol, and pyrazinamide. It emphasizes critical monitoring and patient education to mitigate risks associated with these drugs. Test your knowledge on these vital aspects of tuberculosis therapy.