A patient is about to begin treatment for latent tuberculosis. The patient is an alcoholic, has difficulty complying with drug regimens, and has mild liver damage. What will the nurse tell this patient?
a. "You must stop drinking before adequate treatment can begin."
b. "You must take isoniazid with close monitoring of hepatic function."
c. "You must take rifampin daily for 4 months."
d. "You will begin a regimen of isoniazid and rifampin."
ANS: B
Isoniazid has an increased incidence of hepatotoxicity, especially when given with alcohol. Patients who consume alcohol or who have liver damage should receive isoniazid with caution and should have close monitoring of liver function. It is unrealistic to ask the alcoholic to stop drinking to undergo treatment. Rifampin is toxic to the liver, especially in alcoholics. Giving both drugs would only increase the risk of hepatotoxicity.
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a. true b. false
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A. Using assertive tones in your voice B. Listening C. Using body language indicating you will not tolerate dangerous behavior D. None of the above