A patient with tuberculosis returns to the clinic for daily antibiotic injections for a urinary infection.
The patient 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?ider?

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

Rifampin 600 mg by mouth (PO) daily.

Gentamicin 160 mg intramuscular (IM) daily.

Isoniazid 300 mg by mouth (PO) daily.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Pyridoxine with a B complex multivitamin is not typically associated with ototoxicity (ringing
in the ears)7.
Choice B rationale
Rifampin is an antitubercular medication, but it is not commonly associated with ototoxicity.
Choice C rationale
Gentamicin is an antibiotic that is known to potentially cause ototoxicity, including ringing in
the ears. Therefore, if a patient who has been receiving gentamicin reports ringing in the ears,
this should be reported to the healthcare provider.
Choice D rationale
Isoniazid is an antitubercular medication, but it is not commonly associated with ototoxicity.

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Correct Answer is D

Explanation

The correct answer is Choice D. Rationale:

Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.

A. Potatoes B. Eggs C. Grapefruit D. Spinach

Correct Answer is C

Explanation

Choice C rationale

Cyclosporine is a medication used to prevent organ rejection in transplant patients. Grapefruit and grapefruit juice should be avoided by patients taking cyclosporine as it may alter the drug’s metabolism, making the drug’s actions unpredictable.

Choice A rationale

There is no specific restriction on consuming potatoes for patients taking cyclosporine.

Choice B rationale

There is no specific restriction on consuming eggs for patients taking cyclosporine.

Choice D rationale

There is no specific restriction on consuming spinach for patients taking cyclosporine.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

Correct Answer is D

Explanation

A client who had a recent kidney transplant is taking cyclosporin. Which dietary restriction should the practical nurse reinforce with the client and family members?

Correct Answer is C

Explanation

Choice C rationale

Choice A rationale

Choice B rationale

The practical nurse (PN) is preparing to administer a scheduled dose of benztropine to a client with Parkinson’s disease. The client reports having a very dry mouth. Which action should the PN take?

The practical nurse (PN) is managing a patient who is receiving fentanyl subcutaneously (SubQ) every hour for pain control. The patient’s pain level remains at 8 on a 10-point scale. What is the most appropriate action for the PN to take?

A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

The Practical Nurse (PN) is reinforcing information with a patient who has been diagnosed with Human Immunodeficiency Virus (HIV) about the antiretroviral medication regimen. Which patient statement should the PN recognize as requiring an additional review of the information?

Based on the patient’s status at 1600, what should the Practical Nurse (PN) prepare to do immediately? Select all that apply.

Prior to administering the H. pylori treatment regimen, which medication should the practical nurse (PN) check in the electronic medical record?

The practical nurse applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved?