HLTH 220 Antitubercular Drugs Lilley: Pharmacology
and the Nursing Process, 8th Edition
Chapter 41: Antitubercular Drugs
Lilley: Pharmacology and the Nursing Process, 8th Edition
MULTIPLE CHOICE
1. The nurse is discussing adverse effects of antitubercular drugs with a
patient who has active tuberculosis. Which potential adverse effect of antitubercular drug
therapy should the patient report to the prescriber?
a. Gastrointestinal upset
b. Headache and nervousness
c. Reddish-orange urine and stool
d. Numbness and tingling of extremities
ANS: D
Patients on antitubercular therapy should report experiencing numbness and tingling of
extremities, which may indicate peripheral neuropathy. Some drugs may color the urine, stool,
and other body secretions reddish-orange, but this is not an effect that needs to be reported.
Patients need to be informed of this expected effect. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 668
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient who has been taking isoniazid (INH) has a new prescription for
pyridoxine. She is wondering why she needs this medication. The nurse explains that
pyridoxine is often given concurrently with the isoniazid to prevent which condition?
a. Hair loss
b. Renal failure
c. Peripheral neuropathy
d. Heart failure
ANS: C
Pyridoxine (vitamin B6) may be beneficial for isoniazid-induced peripheral neuropathy. The
other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 687
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
3. The nurse will assess the patient for which potential contraindication to
antitubercular therapy?
a. Glaucoma
b. Anemia
c. Heart failure
d. Hepatic impairment
, HLTH 220 Antitubercular Drugs Lilley: Pharmacology
and the Nursing Process, 8th Edition
ANS: D
Results of liver function studies (e.g., bilirubin level, liver enzyme levels) need to be assessed
and the Nursing Process, 8th Edition
Chapter 41: Antitubercular Drugs
Lilley: Pharmacology and the Nursing Process, 8th Edition
MULTIPLE CHOICE
1. The nurse is discussing adverse effects of antitubercular drugs with a
patient who has active tuberculosis. Which potential adverse effect of antitubercular drug
therapy should the patient report to the prescriber?
a. Gastrointestinal upset
b. Headache and nervousness
c. Reddish-orange urine and stool
d. Numbness and tingling of extremities
ANS: D
Patients on antitubercular therapy should report experiencing numbness and tingling of
extremities, which may indicate peripheral neuropathy. Some drugs may color the urine, stool,
and other body secretions reddish-orange, but this is not an effect that needs to be reported.
Patients need to be informed of this expected effect. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 668
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient who has been taking isoniazid (INH) has a new prescription for
pyridoxine. She is wondering why she needs this medication. The nurse explains that
pyridoxine is often given concurrently with the isoniazid to prevent which condition?
a. Hair loss
b. Renal failure
c. Peripheral neuropathy
d. Heart failure
ANS: C
Pyridoxine (vitamin B6) may be beneficial for isoniazid-induced peripheral neuropathy. The
other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 687
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
3. The nurse will assess the patient for which potential contraindication to
antitubercular therapy?
a. Glaucoma
b. Anemia
c. Heart failure
d. Hepatic impairment
, HLTH 220 Antitubercular Drugs Lilley: Pharmacology
and the Nursing Process, 8th Edition
ANS: D
Results of liver function studies (e.g., bilirubin level, liver enzyme levels) need to be assessed
