A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about experiencing numbness and tingling of the hands and feet. Which of the following is an appropriate response by the nurse?
"Drinking more fluid will prevent numbness and tingling."
"An increase in urinary frequency, burning, and dysuria shows the medication is working."
"Numbness and tingling of the hands and feet are harmless side effect of the medication."
"Numbness and tingling of hands and feet are adverse reactions and the provider may change your medication."
The Correct Answer is D
D. Numbness and tingling of the hands and feet can indicate peripheral neuropathy, a known adverse effect of nitrofurantoin. It's essential for the nurse to recognize and communicate the potential seriousness of these symptoms to the client.
A. Numbness and tingling are not typically related to hydration status. While adequate hydration is important for overall health, it does not directly prevent numbness and tingling caused by medication side effects.
B. Symptoms like urinary frequency, burning, and dysuria are common symptoms of a urinary tract infection, not indicators of the medication working.
C Numbness and tingling of the hands and feet can be indicative of peripheral neuropathy, which is a potential adverse reaction to nitrofurantoin. While not all cases are severe, it's crucial to assess the severity and duration of these symptoms and notify the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The nurse should promptly notify the healthcare provider to discuss the allergy history and request an alternative antibiotic that is not structurally related to penicillin or cephalosporins. Examples of alternative antibiotics may include antibiotics from different classes such as macrolides or fluoroquinolones, depending on the indication and sensitivity profile.
A. Diphenhydramine (Benadryl) is an antihistamine that can help manage allergic reactions. However, it should not be used as a standalone precautionary measure for a client with a history of anaphylaxis to penicillin. Anaphylaxis is a severe allergic reaction that can lead to life-threatening symptoms such as difficulty breathing, swelling, and low blood pressure.
B. Before taking any further steps, the nurse should clarify and confirm the nature and severity of the client's allergic reaction to penicillin. Anaphylaxis is a serious allergic reaction characterized by rapid onset and potentially life-threatening symptoms. Clarifying the history ensures accurate decision- making regarding the administration of cephalexin.
C. This is not recommended without further clarification and assessment. Given the history of anaphylaxis to penicillin, there is a significant risk of cross-reactivity with cephalosporins like cephalexin. Cephalosporins have a structural similarity to penicillin and can provoke allergic reactions in individuals with penicillin allergy, including anaphylaxis.
Correct Answer is ["1.5"]
Explanation
Volume to administer (mL) = Dose ordered (mg) / Concentration of drug (mg/mL).
For a dose of 15 mg and a concentration of 10 mg/mL, the calculation would be 15 mg / 10 mg/mL = 1.5 mL.
Therefore, the nurse should administer 1.5 mL of morphine injection.
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