What is the reason side effects of antifungal therapy are often more common and severe than for other types of anti-infective drugs?
100
RIF, INH, Ethambutol.
What are some of the first line anti-tubercular drugs?
100
The mineral critical for the thyroid to use in making thyroid hormones?
What is iodine?
100
This testing agent produces a red/hard area about 12mm or more, indicating a positive test, when read at 48-72 hours post placement.
What is PPD (purified protein derivative)
100
Patient should limit use of grapefruit juice while using this classification of antifungals.
What is the azole group?
200
A common side effect of systemic antifungal drugs, which can interfere with nutritional status.
What is change in how food tastes?
200
6 months minimum for an immunocompetent patient with active tuberculosis.
What is 6 months?
200
Two common thyroid replacement drugs.
What is levothyroxine, synthroid, Armour thyroid, thyrolar?
200
TB test with induration >12mm, productive cough, cavitation on chest x-ray.
What is a description of a patient requiring drug therapy for active tuberculosis?
200
Having one family member responsible for giving daily drugs and watching the patient swallow them.
What is the best technique to ensure a patient with memory problems adheres to first -line drug therapy for tuberculosis?
300
An LDH (lactate dehydrogenase) of 880 IU/L occurs in a patient taking ketoconazole (Nizoral). The nurse needs to take this action.
What is notifying the prescriber immedicately?
300
"My urine is orange! I'm on INH and Rifampin.
What is a normal side effect of Rifampin?
300
These replacement drugs reduce the effectiveness of all antidiabetic drugs.
What is thyroid replacement drugs?
300
The lab test on sputum which helps determine presence of tuberculosis.
What is Acid fast bacillus (AFB)?
300
Avoid caffeine if you are on this anti-tubercular med because it can lead to dangerous hypertension..
What is INH?
400
Treatment with Terbinafine (Lamisil) or flucytosine (Ancobon) may lead to this effect for the patient. (Flucytosine may also result in peripheral neuropathy but nursing actions are taken instead of stopping the med)
What is decrease WBC and increase risk of infection?
400
Patient is on all four first-line drugs for TB. His RBC is 2.2/mm3
What is a lab value most important to report to the prescriber?
400
Exophthalmus occurs in this disorder which is treated with PTU, surgery, and/or radiation.
What is Grave's form of hyperthyroidism?
400
"My symptoms have disappeared after a month of drug therapy. I can stop taking all of these drugs"
What is an indicator that more teaching is needed?
400
The nurse's best action when pt on ethambutol reports trouble distinguishing colors.
What is hold the dose and notify prescriber immediately?
500
Can cause phlebitis at IV site and severe rigors/elevated temperature, hyperkalemia, and more rapid onset of renal insufficiency. Usually infused over minimum of 6 hours.
What is Amphotericin B?
500
Gynecomasty in a male taking INH
What is "this is common with INH and will disappear after completing the therapy"?
500
Presence or absence of uterus.
What is the determining factor in use of progesterone?
500
Not a sulfa drug, but can cause allergic reaction in patient receiving rifampin (RIF) intravenously.
What is sulfite preservatives?
500
The nurse's response re length of treatment for the patient with Hashimoto's thyroiditis.