A patient is taking pyrazinamide as a component of a multidrug regimen for tuberculosis. Which co-morbid condition in the patient's health history would most concern the nurse?

a. Cirrhosis
b. Migraine headaches
c. Diabetes
d. Osteoarthritis


ANS: A
A history of cirrhosis would most concern the nurse, because liver injury is the principal adverse effect of pyrazinamide.
Migraine headaches, diabetes, and osteoarthritis are not co-morbid conditions that would affect a patient taking pyrazinamide.

Nursing

You might also like to view...

A 25-year-old patient diagnosed with invasive cervical cancer expresses a desire to have children. What procedure might the physician offer as treatment?

A) Radical hysterectomy B) Radical culposcopy C) Radical trabeculectomy D) Radical trachelectomy

Nursing

The client asks the nurse to explain the reason for a chest tube insertion in treating a pneumothorax. Which is the best response by the nurse?

A) "Chest tube will allow air to be restored to the lung." B) "The tube will drain secretions from the lung." C) "Chest tubes provide a route for medication instillation to the lung." D) "The tube will drain air from the space around the lung."

Nursing

An adult patient with sickle cell anemia is being treated for a severe acute crisis with an opioid analgesic, a glucocorticoid, and hydroxyurea

The patient's complete blood count reveals neu-trophils 2000/mm3, platelets 85,000/mm3, reticulocytes 85,000/mm3, and a hemoglobin of 4.2 gm/dL. What will the nurse anticipate doing? a. Decreasing the glucocorticoid dose b. Increasing the glucocorticoid dose c. Increasing the hydroxyurea dose d. Stopping the hydroxyurea

Nursing

The physician orders a nasogastric tube (NGT) for the client with pancreatitis. The nurse explains that the purpose of the tube is:

A) relief from nausea and vomiting. B) reduction of pancreatic secretions. C) control of fluid and electrolyte balance. D) removal of irritants.

Nursing