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Case Study: Drugs for Tuberculosis Scenario: 0900 For the past 3 years, a 36-year-old medical assistant has worked in an outpatient pulmonary clinic. She converted from a negative to a positive tuberculosis (TB) skin test and was started by the healthcare provider on prophylaxis treatment with isoniazid (INH), rifampin (Rifadin), pyrazinamide, and ethambutol (Myambutol) for the first 8 weeks of therapy. She is now on INH and rifampin alone daily for the last 2 months. The client has a follow-up appointment with her healthcare provider and tells the nurse she's not feeling very well. The client states she thinks her sclera looks yellow, that she has nausea, a headache, tingling in her toes and feet, and reddish urine. The nurse notes that the liver enzymes from her labs drawn yesterday are ALT 105 (normal 7-56 units per liter) and AST 201 units per liter (normal 10-40 units per liter). Categorization 2 points The RN begins to plan care for the client. Categorize each option to identify the desirable or contraindicated outcomes and nursing interventions. Use all of the options. Eight options are desired; Four options are contraindicated. Desired Contraindicated No Answers Chosen No Answers Chosen Possible answers The nurse will monitor liver enzyme as ordered. Client will maintain elastic skin turgor and moist mucous membranes. The nurse will give antiemetics as ordered and appropriate. The nurse will measure intake and output daily. The nurse will teach the client about treatment options and interventions