Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?
A 73-year-old patient who is taking pyridoxine along with isoniazid.
A 24-year-old patient who has noticed a red-orange color in their urine after being treated with rifampin.
A 68-year-old patient who has been taking rifampin and isoniazid as prescribed for 24 months.
A 35-year-old patient who did not complete the full course of anti-tubercular therapy in the past.
The Correct Answer is D
Choice A rationale
While older age and the use of certain medications can increase the risk of developing drug- resistant tuberculosis, these factors alone do not pose the greatest risk.
Choice B rationale
The presence of a red-orange color in the urine after being treated with rifampin is a common side effect of the medication and does not indicate an increased risk of developing drug- resistant tuberculosis.
Choice C rationale
A patient who has been taking rifampin and isoniazid as prescribed for 24 months is not at the greatest risk of developing drug-resistant tuberculosis. Adherence to the prescribed treatment regimen is actually crucial in preventing the development of drug-resistant strains of the disease.
Choice D rationale
A patient who did not complete the full course of anti-tubercular therapy in the past is at the greatest risk of developing a drug-resistant form of the disease. Incomplete treatment can allow tuberculosis bacteria to develop resistance to the medications used, leading to the emergence of drug-resistant strains.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. While it’s important to monitor digoxin levels in patients receiving gentamicin due to the risk of increased digoxin levels, it’s not the most concerning medication.
Choice B rationale
Furosemide is a loop diuretic that can cause ototoxicity, especially when used with aminoglycosides like gentamicin. Therefore, this is the medication the nurse should be most concerned about.
Choice C rationale
Prednisolone is a corticosteroid medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Choice D rationale
Warfarin is an anticoagulant medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Correct Answer is D
Explanation
Choice A rationale
Tuberculous meningitis is a serious condition, but it is not a contraindication for the use of prednisone.
Choice B rationale
Chronic obstructive pulmonary disease (COPD) is not a contraindication for prednisone. In fact, prednisone is often used to treat exacerbations of COPD56.
Choice C rationale
Cerebral edema is not a contraindication for prednisone. Prednisone is sometimes used to reduce inflammation and swelling in the brain.
Choice D rationale
Peptic ulcer disease is a contraindication for the use of prednisone. Prednisone can increase the risk of peptic ulcers by increasing stomach acid secretion and decreasing the production of protective mucus in the stomach.
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