A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis.
Which of the following statements should the nurse include in the teaching?
"Lifelong treatment with this medication is necessary.”.
"The medication causes amenorrhea if taken along with an oral contraceptive.”.
"You should wear glasses instead of contacts while taking this medication.”.
"A yellow tint to the skin is an expected reaction to the medication.”.
The Correct Answer is C
Choice A rationale: Tuberculosis treatment with rifampin typically lasts 6 to 9 months. Lifelong therapy is not required for TB, and unnecessary prolonged use increases the risk of drug resistance and hepatotoxicity.
Choice B rationale: Rifampin induces liver enzymes that accelerate the metabolism of oral contraceptives, making them less effective. It does not cause amenorrhea, but it necessitates the use of non-hormonal backup contraception.
Choice C rationale: Rifampin causes a harmless reddish-orange discoloration of urine, sweat, tears, and saliva. This can permanently stain soft contact lenses, so clients are advised to wear eyeglasses during the treatment course.
Choice D rationale: A yellow tint to the skin or sclera indicates jaundice, which is a sign of hepatotoxicity. This is a serious adverse effect rather than an expected reaction and must be reported immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Albuterol primarily acts as a bronchodilator by opening up the airways. It does not have a significant anti-inflammatory effect. Inhaled corticosteroids are more commonly used to reduce airway inflammation in asthma.
Choice B rationale:
Albuterol, a beta-2 agonist, helps with breathing by relaxing the smooth muscles in the airways, which opens them up. This action allows for improved airflow and ease of breathing. Therefore, this choice is correct.
Choice C rationale:
Albuterol is used to relieve bronchospasm, which can prevent wheezing in individuals with asthma. It does not have a direct effect on reducing mucus production or coughing.
Choice D rationale:
Albuterol does not increase the amount of mucus production. In fact, it can help reduce coughing by relieving bronchospasm, but it does not directly suppress coughing episodes.
Choice E rationale:
Albuterol can help reduce coughing episodes by improving airflow and reducing the irritation that leads to coughing.
Correct Answer is A
Explanation
Choice A rationale:
Withholding the digoxin dose for a decreased heart rate is the correct action. Digoxin is a medication used to treat heart failure, but it can lead to bradycardia (slow heart rate) as a side effect. In this scenario, the client's heart rate is already at 54 beats per minute, which is below the normal range. Administering digoxin could further slow the heart rate, potentially leading to dangerous bradycardia or heart block. Withholding the medication is essential to prevent this adverse event.
Choice B rationale:
Administering digoxin 0.25 mg is not the appropriate action in this case. The client's heart rate is already below the normal range, and giving the full dose of digoxin could further depress the heart rate and increase the risk of bradycardia. Withholding the medication is the safer course of action.
Choice C rationale:
Administering digoxin 0.125 mg is not recommended because the client's heart rate is already below the normal range. While a reduced dose may be considered in some situations, it's essential to withhold the medication and consult with the healthcare provider in this specific case, as the client's heart rate is significantly low.
Choice D rationale:
Withholding the digoxin dose for elevated BP is not the appropriate action. Digoxin is primarily used to treat heart failure by increasing the force of cardiac contractions. Elevated blood pressure is not an indication to withhold digoxin. The focus should be on addressing the low heart rate in this scenario. .
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