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. Petroleum jelly is a petroleum-based product and can be a fire hazard when used with oxygen therapy. Water-based lubricants are recommended instead.
B. Alcohol is flammable, so it's better to avoid alcohol-based cleaners near oxygen therapy equipment.
C. Nail polish remover typically contains acetone, which is highly flammable. Since oxygen therapy increases the risk of fires, it is essential to avoid flammable substances around the client.
D. Synthetic fabrics can generate static electricity and should be avoided around oxygen. Cotton is preferable because it is less likely to produce static.
Correct Answer is B
Explanation
A. This response deflects the client's feelings and does not acknowledge the client's frustration.
B. This response acknowledges the client's feelings of frustration and validates their experience, showing empathy and understanding.
C. While it is important to encourage the client's progress, this response does not directly address the client's expressed emotions.
D. Suggesting that the client call their partner may not address the underlying feelings of frustration and may overlook the opportunity for therapeutic communication.
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