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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 A

Explanation

- A) Alcohol use disorder is a contraindication for acetaminophen due to the increased risk of liver damage, especially in the case of chronic alcoholism or liver diseases.
- B) Chronic kidney disease is not an absolute contraindication but requires caution. Dosing intervals may need to be adjusted due to altered excretion.
- C) Receiving a Hepatitis B vaccine within the last week is not a contraindication for acetaminophen.
- D) Diabetes mellitus is not a contraindication for acetaminophen. Patients with diabetes should be aware of sugar content in liquid formulations, but it does not preclude the use of the medication.

A. "Take this medication 2 hours before a meal." B. "Decrease your daily sodium intake." C. "Limit foods containing tyramine." D. "Report swelling of the feet to your provider."

Correct Answer is B

Explanation

Choice A rationale:

Lithium carbonate should be taken with meals to minimize gastrointestinal upset.

Choice B rationale:

Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.

Choice C rationale:

Tyramine is not typically restricted in clients taking lithium.

Choice D rationale:

Swelling of the feet is not a common adverse effect of lithium carbonate.

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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 is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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