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 ["A","B","C"]
Explanation
The presence of more frequent headaches and difficulty sleeping, coupled with a significant increase in blood pressure (BP 169/91 mm Hg), could suggest potential adverse effects of the medication phenelzine, which is known to cause headaches and hypertensive reactions. It is crucial for the nurse to monitor these symptoms closely, as they may require medical attention and could indicate the need for an adjustment in the client's treatment plan. The client's vital signs should be regularly monitored, and any new or worsening symptoms should be reported to the healthcare provider promptly to ensure the client's safety and well-being.
Correct Answer is C
Explanation
A: Percussion should be performed with a cupped hand to provide effective airway clearance, not with a flat hand.
B: Postural drainage is typically performed multiple times per day to help clear secretions from the lungs in cystic fibrosis.
C: Postural drainage is often performed before meals to minimize the risk of vomiting due to manipulation of the abdomen.
D: Bronchodilators are not typically administered after postural drainage; they are used to help open the airways before the procedure.
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