NURS 6521 Week 8 Quiz.Q&A

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NURS 6521 Week 8 Quiz.Q&A • Question 1 1 out of 1 points A nurse is providing education to a patient who is taking INH. The nurse will advise the patient to avoid which of the following foo... ds? Response Feedback: Patients who take INH should avoid eating tyramine, histamine-rich foods, and foods containing caffeine. Also, the patient should be told to avoid consuming alcohol on a daily basis. Cheese, dairy products, chicken liver, beer, ale, bananas, and figs are rich in tyramine. Tuna, brine, and yeast extracts are rich in histamine. Patients need not refrain from eating potatoes, root vegetables, chicken, fish, or citrus fruits. • Question 2 1 out of 1 points A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Response Feedback: For the patient with sensory-perceptual disturbances, such as numbness and a tingling sensation, or weakness, the nurse should make sure that the patient understands the need to ask for assistance when getting out of bed. The patient's bed should be kept low, and the side rails should be kept up at all times. Using aseptic technique is essential to reduce the risk of infection, and increased fluid intake is advised in amphotericin B therapy, but these would not help relieve the patient's symptoms or provide a measure of patient safety. • Question 3 1 out of 1 points A child is taking permethrin for head lice. The nurse will instruct her mother to Response Feedback: Using creams, ointments, or oils may diminish the therapeutic effect of permethrin. Increasing daily milk intake would not enhance the effects of the drug. The patient does not have to wash her hair every day. • Question 4 1 out of 1 points A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that Response Feedback: Rifampin can discolor body fluids red–orange. The patient should be informed that this is an expected adverse effect and is harmless. However, wearers of soft contact lenses should be cautioned that the lenses may be permanently discolored and that hard contacts or regular glasses should be used during the therapy. Although rifampin is often well tolerated, it may cause GI disturbances such as nausea and vomiting, anorexia, flatulence, cramps, and diarrhea. Cardiac arrhythmias, seizures, and facial flushing are not typically associated with the use of this drug. • Question 5 1 out of 1 points Which of the following is critical to helping prevent development of resistant strains of microbes in patients? Response Feedback: Exposure to an antimicrobial agent leads to the development of resistance, so it is important to limit the use of these agents to the treatments of specific pathogens known to be sensitive to the drug being used. Drug dosages are also important in preventing the development of resistance. However, the duration of drug use is critical to ensure that microbes are completely eliminated and not given the chance to grow and develop resistant strains. It is hard to convince patients that the timing of the dose and length of time they continue to take the drug are important. Patients who stop the drug when they start to feel better encourage the emergence of resistant strains. ..........CONTINUED [Show More]

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