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 A
Explanation
Choice A rationale:
Calcium gluconate is used to treat hypermagnesemia by antagonizing the effects of excess magnesium and reducing its impact on cardiac function.
Choice B rationale:
Flumazenil is used to reverse the effects of benzodiazepine overdose, not to treat hypermagnesemia.
Choice C rationale:
Protamine sulfate is used to reverse the effects of heparin, not to treat hypermagnesemia.
Choice D rationale:
Acetylcysteine is used to treat acetaminophen overdose, not to treat hypermagnesemia.
Correct Answer is C
Explanation
Choice A rationale:
Testing negative for HIV does not mean that the client is taking the antibiotics as prescribed. HIV is a virus that weakens the immune system and makes people more susceptible to tuberculosis, but it is not related to the medication regimen for tuberculosis.
Choice B rationale:
having a positive purified protein derivative test does not mean that the client is taking the antibiotics as prescribed. A purified protein derivative test is a skin test that checks for exposure to tuberculosis bacteria, but it does not measure the effectiveness of the medication regimen. A positive test means that the client has been exposed to tuberculosis bacteria at some point in their life, but it does not mean that they have an active infection or that they are taking the antibiotics as prescribed.
Choice C rationale:
The client has a negative sputum culture. A sputum culture is a test that checks for the presence of tuberculosis bacteria in the mucus that is coughed up from the lungs. A negative sputum culture means that the bacteria are no longer detectable and that the medication regimen is effective. A positive sputum culture means that the bacteria are still present and that the medication regimen may need to be adjusted.
Choice D rationale:
Having normal liver function test results does not mean that the client is taking the antibiotics as prescribed. Liver function tests are blood tests that check for damage to the liver caused by medications or other factors. Isoniazid and rifampin can cause liver damage, so the nurse should monitor the client's liver function tests regularly to prevent or detect any problems. However, having normal liver function test results does not mean that the client is taking the antibiotics as prescribed or that the medication regimen is effective.
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