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
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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Related Questions
Correct Answer is D
Explanation
A. Decreased urine output. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
B. Increased blood pressure. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
C. Increased level of consciousness. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
D. Decreased wheezing. This finding is an indicator of theophylline effectiveness. Theophylline is a bronchodilator used to treat asthma and other respiratory conditions. A decrease in wheezing indicates that the medication is effectively improving the client’s airway function.
Correct Answer is D
Explanation
A. Gemfibrozil is a lipid-lowering agent and does not have a significant interaction with nitroglycerin. It is not contraindicated for use with nitroglycerin.
B. Lansoprazole is a proton pump inhibitor used to treat acid-related stomach issues. It does not interact with nitroglycerin and is safe to use concurrently.
C. Diazepam is a benzodiazepine used for anxiety and muscle spasms. While it can cause hypotension, it is not specifically contraindicated with nitroglycerin.
D. Sildenafil is a phosphodiesterase inhibitor used to treat erectile dysfunction. It is contraindicated with nitroglycerin because both medications cause vasodilation, which can lead to severe hypotension and cardiovascular collapse. Patients should not use these medications together.
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