A nurse is caring for a client who has been prescribed isoniazid for tuberculosis for three weeks. The client reports a numbness and tingling sensation in the lower extremities. Based on the client’s presenting symptoms, which of the following is a complication of this medication?

Deep vein thrombosis

Hemorrhage

Peripheral neuropathy

Achilles tendon rupture

Answer and Explanation

The Correct Answer is C

A. Incorrect: Deep vein thrombosis (DVT) is not a known complication of isoniazid.

B. Incorrect: Hemorrhage is not associated with isoniazid.

C. Correct: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Clients experiencing numbness and tingling should be assessed for neuropathy and may need pyridoxine supplementation.

D. Incorrect: Achilles tendon rupture is a complication of fluoroquinolones, not isoniazid

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Correct Answer is ["B","D"]

Explanation

A. Incorrect: Excessive nighttime sweating is not an adverse effect of ciprofloxacin.

B. Correct: Ciprofloxacin can cause tendonitis and Achilles tendon rupture, especially in older adults.

C. Incorrect: Sedation is not a known side effect of ciprofloxacin.

D. Correct: Ciprofloxacin can cause superinfections, such as fungal overgrowth, leading to yeast infections (characterized by white, cottage cheese-like lesions in the genital area).

A. This medication blocks COX-I and COX-2 enzymes. B. This medication reduces the production of angiotensin Il by blocking the conversion of angiotensin I to angiotensin Il and increases levels of bradykinin. C. This medication is bactericidal antibiotic that destroys microorganisms by disrupting protein synthesis. D. This medication blocks the action of angiotensin ll. which results in vasodilation and excretion of sodium and water.

Correct Answer is C

Explanation

A. Incorrect: COX-1 and COX-2 enzyme inhibition is the mechanism of NSAIDs (e.g., ibuprofen), not gentamicin.

B. Incorrect: This describes the mechanism of ACE inhibitors (e.g., enalapril), not gentamicin.

C. Correct: Gentamicin is an aminoglycoside antibiotic that inhibits bacterial protein synthesis, leading to bacterial cell death.

D. Incorrect: This describes the action of angiotensin II receptor blockers (ARBs), not gentamicin.

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A nurse is caring for a client who has been prescribed isoniazid for tuberculosis for three weeks. The client reports a numbness and tingling sensation in the lower extremities. Based on the client’s presenting symptoms, which of the following is a complication of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a severe urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following information about adverse reactions should the nurse include? (Select All That Apply.)

Correct Answer is ["B","D"]

Explanation

A nurse is caring for a client who is starting a course of gentamicin IV for a bacterial infection. Which of the following is the correct expected pharmacological action for this medication?

Correct Answer is C

Explanation

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