A client has been taking isoniazid (INH) for TB for 3 weeks. What laboratory result needs to be reported to the HCP immediately?
Elevated WBC
Elevated RBC
Elevated liver function tests
Elevated albumin
The Correct Answer is C
A. Elevated WBC: An elevated white blood cell count may indicate infection or inflammation but is not a common adverse effect directly linked to isoniazid. It should be evaluated, but it does not require the same urgent response as signs of hepatotoxicity.
B. Elevated RBC: An increase in red blood cell count is uncommon and not associated with isoniazid toxicity. It may reflect other physiological processes but is not a priority concern in the context of TB treatment with INH.
C. Elevated liver function tests: Isoniazid can cause hepatotoxicity, especially in older adults or when combined with other hepatotoxic drugs. Elevated liver enzymes (e.g., ALT, AST) indicate liver stress or injury and must be reported immediately to prevent progression to severe liver damage.
D. Elevated albumin: Elevated albumin levels are generally not clinically significant and rarely occur in acute illness. They do not indicate liver dysfunction and are not relevant to monitoring for isoniazid-related toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Normal temperature:A temperature of 98.6°F (37°C) is within the normal range and does not contribute to the assessment of asthma severity. It helps rule out infection but does not reflect worsening respiratory status.
B. Slightly elevated heart rate:A heart rate of 122 bpm is elevated for a 7-year-old and may indicate respiratory distress or anxiety. However, it is a nonspecific finding and not the strongest indicator of worsening asthma.
C. Nasal flaring and intercostal retractions:These are classic signs of increased work of breathing and indicate significant respiratory distress. They reflect worsening airway obstruction and the need for immediate intervention to prevent further deterioration.
D. Use of maintenance inhaler:Use of a maintenance inhaler such as fluticasone is part of routine asthma management and does not indicate worsening symptoms. It is a preventive measure, not a reflection of acute status.
Correct Answer is A
Explanation
A. Assess the posterior pharynx for active bleeding:Frequent throat clearing without reported pain after a tonsillectomy may indicate active bleeding, which can be life-threatening. Silent bleeding may drip down the throat and trigger subtle clearing rather than coughing or spitting, making visual inspection an immediate priority.
B. Place the client in the side lying position:Side-lying can help prevent aspiration if bleeding occurs, but it does not replace the need to directly assess for bleeding first. Positioning should follow an initial airway and bleeding assessment.
C. Give the client juice through a straw:Using a straw is discouraged after tonsillectomy because the suction motion can disrupt clots and provoke bleeding. Juice may be appropriate for hydration, but not with a straw and not before checking for bleeding.
D. Offer the client ice cream to coat the throat:Cold soft foods like ice cream may soothe the throat and reduce swelling, but this should not be the first action when silent bleeding is suspected. The priority is ensuring that no active bleeding is occurring before offering food.
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