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Strategy Session: Client Need 4

Pharmacological and Parenteral Therapies Subcategory


Question Type: Analysis
Strategy Used: Determine Effects

Consider this example:

A 45-year old homeless man is hospitalized with tuberculosis. The physician's orders include isoniazid (INH) and pyridoxine (vitamin B6). The patient asks why he is receiving pyridoxine. The nurse's response should be based on the knowledge that pyridoxine:
(1) increases INH absorption.
(2) prevents the development of tolerance to INH.
(3) decreases the severity of INH side effects.
(4) prevents INH-associated neuritis.

Applying the strategy:

First, reword the question in your own words. Why is vitamin B6 given to a patient together with INH? Next, determine the effects of each response.

Answer choice 1: there is no effect.

Answer choice 2: tolerance does not develop.

Answer choice 3: there is no effect.

Answer choice 4: most common untoward effect, frequently seen in malnourished infants, alcoholics, and diabetic patients.

What response actually positions vitamin B6 as having an effect response? The correct answer is (4).

Other strategy sessions:

Bullet   Client Need 1
Bullet   Client Need 2
Bullet   Client Need 3

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