A client who has been diagnosed with TB has been placed on drug therapy. The medication regimen includes rifampin. Which instruction will the nurse provide to the client regarding the potential side effects of rifampin?
Decrease protein in the diet
Drink alcohol in moderation
Maintain follow-up monitoring of liver enzymes
Urine may have a purple color to it
The Correct Answer is C
A. There is no need to decrease protein in the diet while taking rifampin.
B. Alcohol should be avoided, not consumed in moderation, as both alcohol and rifampin are hepatotoxic and can increase the risk of liver damage.
C. Liver enzyme monitoring is essential during rifampin therapy because rifampin can cause hepatotoxicity. Regular follow-up is necessary to detect liver dysfunction early.
D. Rifampin can cause red-orange discoloration of body fluids like urine, sweat, and tears — not purple.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check urine for ketones — Ketone testing is typically relevant for clients with diabetes or suspected ketoacidosis, not for evaluating causes of syncope in a hypertensive client.
B. Obtain orthostatic blood pressure — A recent increase in antihypertensive medication may cause orthostatic hypotension, which can lead to syncope (fainting). Measuring orthostatic vital signs (BP and HR in lying, sitting, and standing positions) helps assess this risk and guides further intervention.
C. Decrease the dose of the antihypertensive — Nurses cannot independently alter medication doses without a provider's order. The nurse should assess and report findings before any changes are made.
D. Monitor intake — While monitoring fluid intake is important, it is not the immediate priority in evaluating a syncopal episode potentially related to medication.
Correct Answer is A
Explanation
A. Client should be tested for HIV every three months — Individuals taking PrEP must be tested for HIV every 3 months to ensure they remain HIV-negative. Taking PrEP while unknowingly HIV-positive can lead to drug resistance.
B. I can miss doses of PrEP — Adherence is critical for PrEP to be effective. Missing doses can reduce protection against HIV infection.
C. Females of childbearing age do not need a pregnancy test before starting treatment — Women of childbearing potential should have a pregnancy test before starting PrEP because the safety of PrEP during pregnancy needs to be considered and monitored.
D. Client and their sexual partners do not need to use condoms — While PrEP significantly reduces HIV risk, it does not protect against other sexually transmitted infections (STIs) or pregnancy, so condom use is still recommended.
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