HESI PHARMACOLOGY PRACTICE 3 EXAM A client with HIV who was recently diagnosed with tuberculosis (TB) asks the nurse, "Why do I need to take all of these medications for TB?" What information should ... the nurse provide? A. Antiretroviral medications decrease the efficacy of the TB drugs. B. Multiple drugs prevent the development of resistant organisms. C. Duration of the medication regimen is shortened. D. Potential adverse drug reactions are minimized. B. Multiple drugs prevent the development of resistant organisms. Rationale: A multidrug regimen is prescribed for a client with HIV and TB to prevent the development of resistance of the tubercle bacilli (B). Although antitubercular medications can inhibit some antiretrovirals (A), a multidrug regimen is needed to inhibit the proliferation of the virulent tubercle bacilli. The duration of antitubercular therapy is typically 6 to 9 months and is not shortened (C) by the use of multiple medications. A client who is receiving HIV and TB therapy is at an increased risk of adverse reactions (D) because of the complex medication regimens and complications secondary to immunosuppression. A client experiencing dysrhythmias is given quinidine 200 mg PO every 6 hours. The nurse plans to observe this client for which common side effect associated with the use of this medication? Diarrhea In addition to nitrate therapy, a client is receiving nifedipine (Procardia) 10 mg PO every 6 hours. The nurse should plan to observe for which common side effect of this treatment regimen? Hypotension A 59-year-old client with congestive heart failure is taking furosemide (Lasix) 40 mg twice daily. The nurse plans to monitor this client for development of which complication? Hyponatremia [Show More]
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