A patient being followed for latent tuberculosis has been on INH therapy for 2 months. While reviewing the laboratory test results, the nurse notes that the liver function test results have become grossly abnormal
The nurse should instruct the patient to
a. continue the drug unless jaundice, nausea, or itching develops.
b. continue the drug and have liver function tests repeated weekly.
c. stop the medication immediately, and other drugs will be prescribed.
d. stop the drug and restart it when liver function returns to normal.
ANS: C
The nurse should instruct the patient to stop taking the medication immediately to prevent further damage to the liver, because INH therapy may cause hepatotoxicity. Liver function should be monitored closely.
The drug should not be continued.
The patient should not be instructed to restart the drug unless advised to do so by the prescriber. The patient would not know when liver function has returned to normal.
You might also like to view...
A nurse is educating a patient with gout about the medication probenecid (Benemid). What active effect should the nurse relay when explaining why this medication is prescribed?
a. Reduces inflammation in the affected joint b. Relieves pain c. Diminishes swelling d. Increases excretion of uric acid
A nurse counsels a patient using two different types of asthma inhalers: a short-acting beta2 agonist and a corticosteroid. When the patient questions the purpose of the steroid inhaler, the nurse's best response would be that glucocorticoids:
a. work rapidly in acute attacks. b. are used as prophylaxis for chronic asthma. c. help prevent respiratory infections. d. are to be used only when one is exposed to allergens in the environment.
A toddler who has just been admitted to the pediatric unit is crying and scared. No treatment has been initiated at this point
The nurse needs to start an IV, and the parent asks, "Will this be painful to my child?" In practicing veracity, the nurse responds: 1. "I won't lie to you. It may be easier for you if you step out until we get the line in.". 2. "It will hurt, so be ready to hold the child.". 3. "It shouldn't be too bad, and I'll be quick.". 4. "We do this all the time, so don't worry.".
When teaching clients taking levodopa alone, the nurse should instruct them not to take vitamin supplements containing:
a. pyridoxine (B6). c. riboflavin (B2). b. thiamine (B1). d. cyanocobalamin (B12).