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A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?

Instruct the client to increase his fluid intake.

Prepare the client for dialysis.

Check the client's liver function test results.

Document this as an expected finding.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Increased fluid intake is not likely to change the color of urine and sweat caused by rifampin.

Choice B rationale:

Dialysis is not indicated for managing the red-orange discoloration caused by rifampin.

Choice C rationale:

Rifampin can affect liver function, but the red-orange discoloration is not primarily related to liver function.

Choice D rationale:

Red-orange discoloration of urine, sweat, and other body fluids is an expected side effect of rifampin and does not require any specific interventions.

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Correct Answer is D

Explanation

A: Flushing an IV line with dextrose 5% in water before and after medication administration is a common practice to ensure that the medication is delivered properly and to prevent interactions in the IV line. This would not typically require an incident report.
B: An absolute neutrophil count of 2.500/mm3 is within the normal range for patients undergoing chemotherapy and would not typically necessitate an incident report.
C: Having chemotherapy 12 hours before the administration of filgrastim does not contraindicate its use and is within the appropriate time frame as filgrastim is often given after chemotherapy to help recover white blood cell counts.
D: According to the guidelines, filgrastim should be stored in the refrigerator and allowing it to sit at room temperature for 2 hours could compromise its effectiveness. This is a deviation from the medication's storage requirements and could potentially harm the patient, thus an incident report should be filed.

A. PaCO2 30 mm Hg B. Oxygen saturation 96 C. Decrease in protein D. Increase in BP

Correct Answer is D

Explanation

Choice A rationale:

PaCO2 levels are not typically affected by albumin infusions.

Choice B rationale:

Oxygen saturation of 96 is a normal finding and is not directly related to an albumin infusion.

Choice C rationale:

Albumin infusion would not typically cause a decrease in protein levels. A decrease in protein is not expected after albumin infusion, as albumin is a protein itself.

Choice D rationale:

Albumin is a plasma expander that increases the blood volume and the blood pressure in a client who is in shock.

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A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse recently administered filgrastim intravenously to a client who has ccer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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