Two months after taking nitrofurantoin for a bacterial infection, a client reports the onset of severe, watery diarrhea to the home care nurse. How should the nurse respond?
Determine if the full course of the initial prescription of medication was taken.
Explain that the diarrhea may be an adverse effect that requires further evaluation.
Offer instructions about the use of an over-the-counter antidiarrheal medication.
advise that the infection has returned, and additional medication will be needed.
The Correct Answer is B
Nitrofurantoin is an antibiotic commonly used to treat urinary tract infections. One of the adverse effects of nitrofurantoin is diarrhea, which may be severe and watery. Therefore, it is important for the home care nurse to inform the client that the diarrhea may be a side effect of the medication and requires further evaluation. The nurse should instruct the client to stop taking the medication and contact their healthcare provider for further assessment and treatment. The nurse should also assess the client's fluid and electrolyte status and monitor for signs of dehydration.
Option a is important to consider, but it does not address the potential adverse effect of the medication.
Option c may be appropriate in some cases, but it is not the priority intervention at this time.
Option d is not necessarily true and may cause unnecessary alarm to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Anaphylaxis is a severe and potentially life-threatening allergic reaction that occurs rapidly after exposure to an allergen. The symptoms of anaphylaxis can vary but usually involve multiple organ systems, including the skin, respiratory, cardiovascular, and gastrointestinal systems.
Wheezing and dyspnea are two common symptoms of anaphylaxis that indicate the respiratory system's involvement.
Urticaria and pruritis are skin manifestations that can also be present in anaphylaxis, but they are not specific to this condition.
Insomnia and irritability are not typical symptoms of anaphylaxis.
Tinnitus and diplopia are also not common symptoms of anaphylaxis.
Correct Answer is A
Explanation
The client’s symptoms of being short of breath and difficult to arouse may indicate an overdose of morphine. The nurse should immediately remove the patches to prevent further absorption of the drug. After removing the patches, the nurse should continue to assess the client’s condition and take further actions as needed, such as administering a narcotic reversal drug or providing oxygen.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today