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

a. disease relapse.
b. drug hypersensitivity reactions.
c. drug resistance.
d. drug adverse effects.


ANS: C
Without multi-drug therapy, patients easily develop resistance to antitubercular drugs. Using more than one antitubercular drug does not prevent relapse, hypersensitivity reactions, or adverse effects.

Nursing

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A patient who has asthma is diagnosed with hypertension. The nurse understands that which drug will be safe to give this patient?

a. Pindolol (Visken) b. Metoprolol (Lopressor) c. Nadolol (Corgard) d. Propranolol (Inderal)

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The nurse checks the expiration date on the medication to be administered and finds that the drug expired 2 days ago. What is the most appropriate action on the part of the nurse?

a. Hold one dose of the medication. b. Return the medication to the pharmacy. c. Contact the physician for orders. d. Administer the drug but monitor the client.

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The nurse includes which of the following in teaching regarding the warning signs of cancer? Select all that apply.

A. Persistent constipation B. Scab present for 6 months C. Curdlike vaginal discharge D. Axillary swelling E. Headache

Nursing

A patient who is taking trimethoprim-sulfamethoxazole for prophylaxis of urinary tract infections tells the primary care NP that a sibling recently died from a sudden cardiac arrest, determined to be from long QT syndrome. The NP should:

a. schedule a treadmill stress test. b. order genetic testing for this patient. c. discontinue the trimethoprim-sulfamethoxazole. d. refer the patient to a cardiologist for further evaluation.

Nursing