Pharmacology TB Drugs #2

Question

The graduate nurse is speaking to the client in the hospital room about their recent diagnosis of tuberculosis (TB) and what to expect. Which statement by the graduate nurse would cause the charge nurse to intervene?

Answers

  1. "You will need to put a gown and mask on to prevent the spread of TB."
    • Rationale:

      This answer is correct because the charge nurse should intervene because it is not correct that the client has to wear a gown and mask. Instead, the health care workers and visitors must abide by airborne precautions, including wearing N95 masks. A N95 mask is a specially fitted mask that should be worn by healthcare workers and visitors to prevent exposure of TB from infected individuals.

  2. "This medication for tuberculosis should be taken as prescribed, for 6-12 months."
    • Rationale:

      This answer is not correct because there is no need for correction or intervention because medication for tuberculosis should be taken as prescribed, for 6-12 months. TB medications include isoniazid (INH) and rifampin.

  3. "The goal of treatment is 3 negative sputum cultures, received on 3 different days."
    • Rationale:

      This answer is not correct because there is no need for correction or intervention because the goal of treatment with isoniazid (INH) and rifampin is 3 negative sputum cultures, received on 3 different days. Sputum samples are taken first thing in the morning for more accurate results.

  4. "Periodic blood tests will be taken to check the function of your liver during treatment."
    • Rationale:

      This answer is not correct because there is no need for correction or intervention because isoniazid (INH) and rifampin is very toxic to the liver. Periodic blood tests will be taken to check the function of the liver during treatment with those antibiotics to help anticipate and prevent any unnecessary risks.

Overview

Tuberculosis (TB) is a serious infection which requires airborne isolation precautions for health care workers and visitors. Specially fitted N95 masks are required when caring for or being in the room of a client with active TB.

Explanation

Learning Outcomes

Tuberculosis (TB) is caused by the mycobacterium tuberculosis bacteria and can cause serious infection in the body that mostly affects the lungs. If a person has active TB, they should be placed in airborne precautions. A N95 mask should be worn by healthcare workers and visitors to prevent exposure of TB from infected individuals. Symptoms of active TB include a cough that lasts up to 3 weeks, coughing up blood, pain in the chest (lungs), sweating at night, fatigue, loss of weight, anorexia, fever, and chills. Medications for TB are prescribed and taken for 6-12 months. Periodic blood tests will be taken to check the function of the liver. The goal of treatment is for the client to have 3 negative sputum cultures, received on 3 different days.

Test Taking Tip

Rifampin and isoniazid (INH) is super toxic to the liver. Watch for all signs and symptoms of liver failure.

Video Rationale