A patient is being treated with isoniazid (INH), rifampin, and pyrazinamide in phase I of treatment for tuberculosis. The organism develops resistance to isoniazid. Which drug will the nurse anticipate the provider will order to replace the isoniazid?
a. Ciprofloxacin (Cipro)
b. Ethambutol (Myambutol)
c. Kanamycin
d. Streptomycin sulfate
ANS: B
If there is bacterial resistance to isoniazid, the first phase may be changed to ethambutol, rifampin, and pyrazinamide. Ciprofloxacin, kanamycin, and streptomycin are not generally first-line antitubercular drugs.
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The nurse is caring for a patient who has a family history of reactions to general anesthesia. Which medication will the anesthesiologist have ready as a precautionary measure before the patient's surgery is started?
a. Protamine sulfate b. Dantrolene sodium (Dantrium) c. Activated charcoal with sorbitol d. Folinic acid (Leucovorin)
The nurse should instruct the patient to take what action if three nitroglycerin tablets taken sublingually are not effective in eliminating chest pain?
A) To call 911 B) To call her health care provider C) To lie down after taking an aspirin D) To take more tablets until pain subsides
Nurse Stacey is a self-admitted drug addict and has been a heavy abuser of codeine. Stacey and the unit manager decide that changes have to occur. Stacey enrolls in an addiction program, and the manager has her transferred to a drug-free area
What other strategies might be appropriate? a. The manager could refer Stacey to the Human Resources Department. b. The manager could assist in monitoring Stacey's progress. c. The manager could counsel Stacey if Sta-cey has formed a trusting relationship with her. d. Stacey needs to be asked not to involve her family in the recovery program be-cause this is a work-related situation.
The focus of the Division of Nursing is to:
a. enhance nursing's competence in provid-ing high-tech skills. b. apply disease prevention, environmental health, and health promotion concepts. c. provide scholarships for advanced nursing education. d. ensure an adequate supply and distribution of qualified nursing personnel to meet the nation's health needs.