A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about experiencing numbness and tingling of the hands and feet. Which of the following is an appropriate response by the nurse?
"Drinking more fluid will prevent numbness and tingling."
"An increase in urinary frequency, burning, and dysuria shows the medication is working."
"Numbness and tingling of the hands and feet are harmless side effect of the medication."
"Numbness and tingling of hands and feet are adverse reactions and the provider may change your medication."
The Correct Answer is D
D. Numbness and tingling of the hands and feet can indicate peripheral neuropathy, a known adverse effect of nitrofurantoin. It's essential for the nurse to recognize and communicate the potential seriousness of these symptoms to the client.
A. Numbness and tingling are not typically related to hydration status. While adequate hydration is important for overall health, it does not directly prevent numbness and tingling caused by medication side effects.
B. Symptoms like urinary frequency, burning, and dysuria are common symptoms of a urinary tract infection, not indicators of the medication working.
C Numbness and tingling of the hands and feet can be indicative of peripheral neuropathy, which is a potential adverse reaction to nitrofurantoin. While not all cases are severe, it's crucial to assess the severity and duration of these symptoms and notify the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Recapping needles increases the risk of needlestick injuries. Needles used for arterial blood gas (ABG) specimens should never be recapped because this action significantly increases the likelihood of accidental puncture wounds.
B. Recapping needles can lead to accidental needlesticks, so it's safer to avoid this practice. Instead, needles should be immediately disposed of in a puncture-proof sharps container.
CA Recapping needles is strongly discouraged because it increases the risk of needlestick injuries. Placing needles in a regular wastebasket does not provide adequate protection from needlestick injuries and is not in line with safe disposal practices.
D. Breaking needles is hazardous and increases the risk of needlestick injuries. Needles should never be manipulated or broken before disposal. They should be placed intact in a sharps disposal container to prevent accidental exposure.
Correct Answer is D
Explanation
D. Blurred vision is a known adverse effect of metoclopramide. It can occur due to its effects on the central nervous system, including potential effects on visual processing. Patients should be informed about this potential side effect, and vision should be monitored periodically.
A. Metoclopramide can cause drowsiness or sedation, especially at higher doses or in susceptible individuals. Monitoring for sedation is important to ensure patient safety and adjust dosing as needed.
B. Urinary retention: Although less common, metoclopramide has been associated with urinary retention. Patients should be monitored for signs and symptoms of urinary difficulty or retention, especially if they have pre-existing urinary issues.
C. Hypertension: Metoclopramide can occasionally lead to an increase in blood pressure, particularly in patients who are predisposed to hypertension or have other cardiovascular risk factors. Blood pressure monitoring is important during treatment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.