A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to provide which information to the client?

Avoid vitamin supplements during therapy.

Drink alcohol in small amounts only.

Report yellow eyes or skin immediately.

Increase intake of Swiss or aged cheeses.

Answer and Explanation

The Correct Answer is C

A. Avoid vitamin supplements during therapy: This is not generally advised for isoniazid therapy. In fact, vitamin B6 supplements are often recommended to prevent peripheral neuropathy caused by isoniazid.

B. Drink alcohol in small amounts only: Alcohol can increase the risk of liver toxicity when taking isoniazid. It is typically advised to avoid alcohol altogether during treatment.

C. Report yellow eyes or skin immediately: Isoniazid can cause liver toxicity, which can lead to jaundice (yellowing of the eyes and skin). This is a serious side effect and should be reported immediately to prevent further liver damage.

D. Increase intake of Swiss or aged cheeses: This recommendation is not related to isoniazid therapy. Aged cheeses are more relevant to patients on monoamine oxidase inhibitors (MAOIs) due to tyramine content.

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Correct Answer is A

Explanation

A. Hyperventilation: Respiratory alkalosis is typically caused by hyperventilation, which leads to excessive loss of carbon dioxide and an increase in blood pH. This is a primary finding in respiratory alkalosis.

B. Abdominal pain: While abdominal pain can occur in various conditions, it is not a specific or common finding associated with respiratory alkalosis.

C. Dry skin: Dry skin is not a direct manifestation of respiratory alkalosis. It is not typically associated with the changes in acid-base balance seen in respiratory alkalosis.

D. Diarrhea: Diarrhea is not commonly associated with respiratory alkalosis. Instead, gastrointestinal symptoms like diarrhea are more commonly related to metabolic acidosis or other conditions.

A. Encourage the client to drink more fluids. B. Encourage regular use of the incentive spirometer. C. Encourage coughing and deep breathing. D. Encourage the client to ambulate more often.

Correct Answer is A

Explanation

A. Encourage the client to drink more fluids: Increasing fluid intake helps thin respiratory secretions, making them easier to clear from the lungs. Hydration is crucial in managing pneumonia to help with mucus mobilization.

B. Encourage regular use of the incentive spirometer: While the incentive spirometer helps with lung expansion and preventing atelectasis, it does not directly affect the viscosity of secretions.

C. Encourage coughing and deep breathing: Coughing and deep breathing are important for clearing secretions, but they are more effective once the secretions are already thin. Drinking fluids is a more direct method to thin the secretions.

D. Encourage the client to ambulate more often: Ambulation is beneficial for overall respiratory health and lung function, but it does not directly thin respiratory secretions. Increasing fluid intake is more effective for this purpose.

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A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to provide which information to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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