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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect: Stopping antibiotics early can lead to incomplete eradication of the infection and resistance.
B. Correct: Clients should always complete the full prescribed course of antibiotics to ensure the infection is fully treated and to prevent resistance.
C. Incorrect: Clients should abstain from sexual activity or use protection to prevent reinfection or transmission of the STI.
D. Incorrect: Metronidazole is an antibacterial and antiprotozoal drug, not an antiviral. It does not affect hormonal contraception, but alcohol consumption should be avoided while taking it.
Correct Answer is A
Explanation
A. Correct: Fluoroquinolones (e.g., ciprofloxacin, levofloxacin) can cause tendonitis and tendon rupture, especially in the Achilles tendon. The medication should be stopped immediately, and the client should avoid weight-bearing activities.
B. Incorrect: Increasing physical activity can worsen tendon damage and increase the risk of rupture.
C. Incorrect: Increasing the dose would exacerbate the side effects.
D. Incorrect: Fluoroquinolones must be taken as prescribed but should be discontinued if serious side effects occur.
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