The nurse is reviewing the client's prescriptions.
For each body system below, click to highlight the findings that indicate a serious adverse reaction. To deselect a finding, click on the finding again. Each body system may support more than 1 potential assessment finding.
|
Body Systems |
Findings |
|
Head, Eyes, Ears, Nose, and Throat (HEENT) |
Yellowing of the eyes Blurred vision Dry eyes |
|
Gastrointestinal |
Abdominal pain Hard stool |
|
Hematologic |
Increased bruising Increased bleeding tendency Insomnia |
|
Genitourinary |
Red/orange tint to urine Darkening of the urine |
Yellowing of the eyes
Blurred vision
Dry eyes
Abdominal pain
Hard stool
Increased bruising
Increased bleeding tendency
Insomnia
Red/orange tint to urine
Darkening of the urine
The Correct Answer is ["A","B","D","F","G","I","J"]
Yellowing of the eyes could indicate hepatotoxicity, a serious adverse effect associated with some of the anti-tuberculosis medications, particularly rifampin.
Blurred vision could be a sign of optic neuritis, a rare but serious adverse effect associated with ethambutol.
Abdominal pain could indicate hepatitis or hepatotoxicity, which are potential adverse effects of anti-tuberculosis medications like isoniazid and rifampin.
Increased bruising could indicate thrombocytopenia, a serious adverse effect associated with some anti-tuberculosis medications, particularly rifampin.
Increased bleeding tendency could also indicate thrombocytopenia or other hematologic abnormalities.
Red/orange tint to urine could indicate rifampin-induced discoloration of bodily fluids, which is not harmful but can be alarming to patients.
Darkening of urine could also be a result of rifampin-induced discoloration. It's important to differentiate between this harmless side effect and hematuria, which could indicate a more serious issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Determine the need for additional providers: Determining the need for additional providers is typically the responsibility of the hospital administration or incident command team, not the unit nurse.
B. Act as a spokesperson to provide information to the media: Communication with the media is managed by designated public relations personnel or a hospital spokesperson, not the unit nurse.
C. Recommend to the provider a list of clients for early discharge: The unit nurse is responsible for assessing which clients are stable enough for discharge and communicating these recommendations to the provider. This helps prioritize bed availability and ensures appropriate allocation of resources during a disaster.
D. Decide which clients should be transported for a higher level of care: This decision is typically made by the disaster management team or the provider, with input from the nurse. Nurses may report clinical details to help inform the decision but do not make the final determination.
Correct Answer is A
Explanation
A. Fever is a common manifestation of bacterial pneumonia, as it indicates the body's immune response to infection. Other typical symptoms include cough, shortness of breath, chest pain, and sputum production.
B. Drooling is not typically associated with bacterial pneumonia but may occur in conditions such as epiglottitis or aspiration pneumonia.
C. Tinnitus is not a characteristic manifestation of bacterial pneumonia but may occur with other conditions affecting the ear.
D. Steatorrhea refers to fatty stools and is not associated with pneumonia.
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