A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

This medication may cause my blood pressure to increase."

"I should take an antacid with each dose of this medication."

"I plan to take this medication for 1 week."

"I will have my liver function tested while I am taking this medication."

Answer and Explanation

The Correct Answer is D

Regular monitoring of liver function is important while taking isoniazid because the medication can cause liver damage in some individuals.
A.   Isoniazid (INH) does not typically affect blood pressure.
B.   Antacids can interfere with the absorption of isoniazid, so they should be avoided or taken at least one hour before or two hours after taking isoniazid.
C.   Treatment for tuberculosis typically involves taking isoniazid for a minimum of 6 to 9 months, sometimes longer, depending on the severity of the infection

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Correct Answer is C

Explanation

C. Metabolic alkalosis is characterized by an increase in serum bicarbonate levels, resulting in an imbalance in the body's acid-base equilibrium towards alkalinity. Excessive ingestion of antacids, particularly those containing bicarbonate or calcium carbonate, can lead to an excessive accumulation of bicarbonate ions in the body, causing metabolic alkalosis.
A. Excessive ingestion of antacids would not typically cause metabolic acidosis because antacids containing bicarbonate or calcium carbonate actually increase bicarbonate levels, leading to alkalosis rather than acidosis.
B. Respiratory alkalosis occurs due to hyperventilation, leading to a decrease in carbon dioxide levels and subsequent alkalosis. Excessive ingestion of antacids is not typically associated with respiratory alkalosis.

D. Respiratory acidosis occurs due to hypoventilation, leading to an increase in carbon dioxide levels and subsequent acidosis. Excessive ingestion of antacids is not typically associated with respiratory acidosis.

A. A client who has pancreatitis reports pain in the left shoulder. B. A client who has peritonitis reports generalized abdominal pain. C. A client who is postoperative reports incisional pain. D. A client who has angina reports substernal chest pain.

Correct Answer is A

Explanation

Referred pain occurs when pain is felt in an area distant from the actual source of the pain. In pancreatitis, irritation of the diaphragm or phrenic nerve can cause pain to be referred to the left shoulder due to shared nerve pathways.

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A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid- base imbalances?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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