An RN is caring for a patient with Tuberculosis who is to receive a new prescription for Isoniazid (INH). The nurse knows that INH can cause peripheral neuropathy. To help prevent this from happening, the nurse can ask the provider for:

Phenazopyridine

Phentolamine

Vitamin B6 (Pyridoxine)

Pyrazinamide

Answer and Explanation

The Correct Answer is C

A.   This medication is used primarily to relieve urinary tract discomfort and does not have any role in preventing peripheral neuropathy associated with INH. It is not relevant in this context.
B.   Phentolamine is an alpha-adrenergic antagonist used to treat hypertension and manage pheochromocytoma. It has no association with preventing peripheral neuropathy related to INH and is not appropriate for this patient.
C.   Isoniazid can cause peripheral neuropathy by interfering with the metabolism of pyridoxine (Vitamin B6). Administering pyridoxine can help prevent this side effect by replenishing the vitamin and supporting nerve health.
D.   Pyrazinamide is another anti-tuberculosis medication that works alongside INH. While it is effective for tuberculosis, it does not prevent peripheral neuropathy and may even have its own side effects.

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Correct Answer is ["A","C","D"]

Explanation

A. Trauma can cause an elevated WBC count as part of the body’s response to injury. The immune system reacts to tissue damage by increasing WBC production to facilitate healing and fight potential infections.
B. Hyperglycemia itself does not directly cause an elevated WBC count. However, it may be associated with conditions like diabetes, where infections are more common. Therefore, while hyperglycemia can occur concurrently with elevated WBC counts, it is not a direct cause of the increase.
C. Infection is one of the most common causes of an elevated WBC count. The body responds to infections (bacterial, viral, etc.) by increasing WBC production to help combat the invading pathogens.
D. Inflammation, whether due to autoimmune conditions, allergies, or other causes, can also lead to an increase in WBC count. The inflammatory process triggers the immune response, resulting in elevated levels of white blood cells.
E. While steroid injections can influence WBC counts, they often cause a redistribution of white blood cells rather than an increase in production. Corticosteroids can cause a decrease in certain types of white blood cells (like lymphocytes) but may increase neutrophils due to a release from the bone marrow.

A. A bunion and bone deformity of the foot B. Ulnar deviation C. Nodules on the fingers D. Bone spurs on either knee

Correct Answer is A

Explanation

A. Hallux Valgus refers to a deformity where the big toe (hallux) angles towards the second toe, often accompanied by a bony bump (bunion) on the side of the foot. This condition can cause pain, discomfort, and difficulty in finding properly fitting footwear.
B. Ulnar deviation refers to the movement of the wrist where the hand deviates towards the ulnar bone (the side of the little finger). It is often associated with rheumatoid arthritis and not related to foot deformities.
C. Nodules on the fingers can occur in various conditions, including rheumatoid arthritis (called rheumatoid nodules). This term does not relate to Hallux Valgus or any deformity of the foot.
D. Bone spurs are bony projections that develop along the edges of bones, often related to osteoarthritis. While they can occur in the knees, they are not associated with Hallux Valgus.

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An RN is caring for a patient with Tuberculosis who is to receive a new prescription for Isoniazid (INH). The nurse knows that INH can cause peripheral neuropathy. To help prevent this from happening, the nurse can ask the provider for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing lab results for a patient and the white blood cell (WBC) count is elevated at 12,000. Which of the following is a cause of increasing WBC count? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

You are reading the Physician's notes on your patient when you notice that the Dr. wrote that the patient has a Hallux Valgus deformity. What is this describing?

Correct Answer is A

Explanation

Your patient with Iron deficiency anemia is receiving Iron Dextran when their blood pressure suddenly starts to drop, their respiratory rate increases, and their breath becomes wheezy- sounding. Your PRIORITY intervention will be:

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