A client with tuberculosis returns to the clinic for daily antibiotic injections for a urinary infection. The client has been taking antitubercular medications for 10 weeks and reports ringing in the ears. Which prescribed medication should the practical nurse (PN) report to the healthcare provider?

Isoniazid 300 mg by mouth (PO) daily.

Gentamicin 160 mg intramuscular (IM) daily.

Pyridoxine with a B complex multivitamin by mouth (PO) daily.

Rifampin 600 mg by mouth (PO) daily.

Answer and Explanation

The Correct Answer is B

A. Isoniazid can cause side effects like peripheral neuropathy, but ringing in the ears is not a common symptom of this medication.
B. Gentamicin can cause ototoxicity, which includes symptoms such as ringing in the ears (tinnitus). This side effect is significant and should be reported to the healthcare provider for further evaluation.
C. Pyridoxine is used to prevent neuropathy caused by isoniazid and does not cause ringing in the ears.
D. Rifampin is an antitubercular medication but is not commonly associated with tinnitus as a side effect. The immediate concern with ringing in the ears is related to gentamicin.

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Correct Answer is A

Explanation

A. Folic acid deficiency is the most significant maternal factor associated with the development of spina bifida occulta. Adequate folic acid intake before and during pregnancy is crucial for preventing neural tube defects.
B. Preeclampsia is a serious pregnancy complication but does not have a direct link to spina bifida occulta compared to the impact of folic acid deficiency.
C. A short interval between pregnancies is associated with other risks but is not a known direct cause of spina bifida occulta.
D. Tobacco use has various adverse effects on pregnancy and fetal development but is not as directly linked to the risk of spina bifida occulta as folic acid deficiency.

A. Irrigate the infected area with medicated solution after applying sterile gloves. B. Draw up the medication in a needle-less syringe which the infant can suck. C. Use a gloved finger to rub the suspension over the infected area. D. Measure the prescribed amount of solution into the infant's bottle.

Correct Answer is C

Explanation

A. Irrigating the infected area with a medicated solution is not appropriate for nystatin suspension, which should be applied directly to the infected area. Additionally, sterile gloves are not required for this procedure.
B. Drawing up the medication in a needle-less syringe for the infant to suck is not an effective method for nystatin administration. The medication must be applied directly to the infected area to be effective.
C. Using a gloved finger to rub the suspension over the infected area is the correct method for applying nystatin. This direct application ensures that the medication comes into contact with the infection and is most effective for treating oral candida.
D. Measuring the medication into the infant’s bottle does not ensure that the nystatin is applied to the infected area and may result in the medication being swallowed rather than effectively treating the candida infection.

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Naxlex Comprehensive Predictor Exams

A newborn's assessment reveals spina bifida occulta. Which maternal factor should the practical nurse (PN) identify as having the greatest impact on the development of this newborn complication?

Correct Answer is A

Explanation

In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?

Correct Answer is C

Explanation

A client receives a prescription for digoxin 0.25 mg by mouth. The medication is available in 0.125 mg tablets. How many tablets should the practical nurse (PN) administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

The practical nurse (PN) positions a temporal artery scanner as seen in the picture. Before obtaining a temperature measurement, which assessment of the skin should the PN complete?

The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with urinary retention. What information should the PN include during the electronic documentation of the procedure? Select all that apply.

Exhibits Given the client's current treatment for fluid volume deficit, what condition(s) should the practical nurse (PN) monitor the client for? Select all that apply.

In administering a nitroglycerin transdermal patch to a client with chronic angina pectoris, in which order should the practical nurse (PN) carry out the actions? (Arrange from first action on top to last on the bottom.)

The practical nurse (PN) is assisting with the plan of care for a client who is receiving the nonsteroidal anti-inflammatory drug ketorolac for painful muscle spasms of the back. Which intervention should the PN include in the client's plan of care?

The practical nurse (PN) observes an unlicensed assistive personnel (UAP) using an alcohol-based cleanser after delivering a client's breakfast tray to the room. The UAP rubs both hands thoroughly for 2 minutes while standing at the door to the client's room. Which action should the PN take?

A 3-year-old male is being discharged after surgical correction of cryptorchidism. Which postoperative instruction is most important for the practical nurse (PN) to re-emphasize to the parents about the child's activities at home?