A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?
Instruct the client to increase his fluid intake.
Prepare the client for dialysis.
Check the client's liver function test results.
Document this as an expected finding.
The Correct Answer is D
Choice A rationale:
Increased fluid intake is not likely to change the color of urine and sweat caused by rifampin.
Choice B rationale:
Dialysis is not indicated for managing the red-orange discoloration caused by rifampin.
Choice C rationale:
Rifampin can affect liver function, but the red-orange discoloration is not primarily related to liver function.
Choice D rationale:
Red-orange discoloration of urine, sweat, and other body fluids is an expected side effect of rifampin and does not require any specific interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Ringing in the ears is not typically associated with clozapine.
Choice B rationale:
Diarrhea is not a common adverse effect of clozapine.
Choice C rationale:
Clozapine can cause agranulocytosis, a serious condition involving a decrease in white blood cells. Fever can be a sign of infection, so clients taking clozapine should notify their provider if they develop a fever.
Choice D rationale:
Weight loss is not a common adverse effect of clozapine.
Correct Answer is B
Explanation
Choice A rationale:
A BUN level of 16 mg/dL is within a normal range.
Choice B rationale:
A potassium level of 5.3 mEq/L is higher than the normal range (typically 3.5-5.0 mEq/L). Triamterene is a potassium-sparing diuretic, and if the client's potassium level is already elevated, it should be withheld to prevent hyperkalemia.
Choice C rationale:
A sodium level of 142 mEq/L is within a normal range.
Choice D rationale:
An albumin level of 4 g/dL is within a normal range.
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