A patient has been taking isoniazid (Nydrazid) for 4 months for latent tuberculosis. The patient reports bilateral tingling and numbness of the hands and feet, as well as feeling clumsy. The nurse expects the provider to:
a. discontinue the isoniazid.
b. lower the isoniazid dose and add rifampin.
c. order pyridoxine 100 mg per day.
d. recheck the tuberculin skin test to see whether it worsens.
ANS: C
Patients sometimes develop peripheral neuropathy, characterized by paresthesias, clumsiness, and muscle aches. If these occur, they may be reversed by administering pyridoxine (vitamin B6). It is not necessary to discontinue the isoniazid. Lowering the isoniazid dose and adding rifampin is not indicated. Rechecking the TST is not indicated.
You might also like to view...
The nurse has received end of shift report on the postpartum unit. Which client should she see first?
1. Multip, second day post-cesarean, moderate lochia serosa 2. Primip, day of delivery, fundus firm 2 cm above umbilicus 3. Multip, first postpartum day, 4 cm diastasis recti abdominis 4. Primip, first postpartum day, hypoactive bowel sounds all quadrants
The O'Donnell Model of Health Promotion Behavior differs from Pender's Health Promotion Model in that it shows how intentions toward a behavior are influenced by beliefs and values
Indicate whether the statement is true or false
A client with an extensive history of alcoholism is having coronary bypass surgery. While administering anesthesia, the certified nurse anesthetist notes that the client requires greater than usual amounts of the drug
The nurse correctly evaluates this response as which phenomenon? 1. The client has developed a resistance to the anesthesia, so it will not work very well. 2. The client has developed a paradoxical reaction to the anesthesia and will require a different drug. 3. The nurse anesthetist most likely did not calculate the correct amount of anesthesia for this client. 4. The client had developed cross-tolerance to the anesthesia and will require greater amounts.
The nurse realizes which patient is at greatest risk for an unintended synergistic effect?
a. 72-year-old who is seeing four different specialists b. 4-year-old who has mistakenly taken the entire packet of his mother's birth control pills c. 50-year-old who was prescribed a second blood pressure medication d. 35-year-old drug addict who has ingested meth mixed with several household chemicals