A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?

Blurred vision

Jaundice

Irregular heart rate

Constipation

Answer and Explanation

The Correct Answer is B

A. Blurred vision can be a side effect of many medications, but it is not a common adverse effect specifically associated with rifampin. Rifampin’s side effects are more commonly related to liver function and gastrointestinal issues.
B. Jaundice is a significant adverse effect of rifampin, indicating potential liver damage. Rifampin can cause hepatotoxicity, leading to elevated liver enzymes and bilirubin levels, which manifest as jaundice. Monitoring liver function tests is crucial for clients on rifampin to detect any early signs of liver damage.
C. Irregular heart rate is not typically associated with rifampin. While rifampin can interact with other medications that affect heart rate, it does not directly cause arrhythmias.
D. Constipation is not a common adverse effect of rifampin. Gastrointestinal side effects of rifampin usually include nausea, vomiting, and diarrhea rather than constipation.

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Correct Answer is C

Explanation

A. A child who recently received the human papillomavirus vaccine. This is not a contraindication for receiving the varicella vaccine. Vaccines can generally be administered simultaneously or at any interval between doses of different vaccines.
B. A young adult who has an allergy to eggs. This is not a contraindication for the varicella vaccine. The varicella vaccine does not contain egg proteins, so an egg allergy does not prevent someone from receiving it.
C. A client who has AIDS. This is a contraindication for the varicella vaccine. Individuals with severe immunocompromising conditions, such as AIDS, should not receive live vaccines like the varicella vaccine due to the risk of severe vaccine-related complications.
D. An older adult client living in a long-term care facility. This is not a contraindication for the varicella vaccine. Older adults can receive the varicella vaccine unless they have specific contraindications such as severe immunocompromise.

A. Monitor the client for hypotension. B. Inject at a 15-degree angle. C. Check the client’s hemoglobin level. D. Administer the medication in the deltoid.

Correct Answer is C

Explanation

A. Monitor the client for hypotension is not specifically required for epoetin alfa administration. Hypotension is not a common adverse effect of this medication.
B. Inject at a 15-degree angle is incorrect. Subcutaneous injections are typically administered at a 45 to 90-degree angle, not 15 degrees.
C. Check the client’s hemoglobin level is essential before administering epoetin alfa. Epoetin alfa stimulates red blood cell production, and monitoring hemoglobin levels helps assess the effectiveness and safety of the treatment.
D. Administer the medication in the deltoid is not the preferred site for subcutaneous injections. Epoetin alfa is usually administered in the abdomen or thigh.

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A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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