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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Amphotericin B lipid complex is normally yellow in color, so discarding it would be wasteful and inappropriate. The nurse should only discard the medication if it is cloudy, discolored, or contains particulate matter.
Choice B rationale:
Amphotericin B lipid complex should be administered over 1 hr, not 2 hr, to reduce the risk of infusion-related reactions such as fever, chills, rigors, hypotension, and tachycardia. The nurse should also premedicate the client with antipyretics, antihistamines, and corticosteroids to prevent or minimize these reactions.
Choice C rationale:
Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
Choice D rationale:
Amphotericin B lipid complex should be administered using an infusion pump, not a gravity flow set, to ensure accurate and consistent delivery of the medication. The nurse should also use a filter needle when drawing up the medication from the vial and a 5-micron filter when infusing it to remove any impurities or aggregates.
Correct Answer is A
Explanation
Choice A rationale:
Colesevelam is a medication used to treat high cholesterol levels by binding bile acids in the intestine, which results in increased bile acid excretion and a decrease in low- density lipoprotein (LDL) cholesterol levels.
Choice B rationale:
Chlorpromazine is an antipsychotic medication and is not used for treating high cholesterol.
Choice C rationale:
Cimetidine is an H2 receptor antagonist used to reduce stomach acid production and is not used for treating high cholesterol.
Choice D rationale:
Colchicine is used to treat gout and certain inflammatory conditions, but it is not used for high cholesterol treatment.
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