A nurse is caring for a client who has diabetes mellitus and pulmonary tuberculosis, and a new prescription for isoniazid. The client reports tingling and numbness of the hands and feet. The nurse should expect which of the following drugs to prevent this adverse effect of INH?

Cyanocobalamin

Pyridoxine

Vitamin K

Protamine sulfate

Answer and Explanation

The Correct Answer is B

A. Incorrect: Cyanocobalamin (vitamin B12) is used to treat pernicious anemia, not INH-induced neuropathy.

B. Correct: Isoniazid can cause peripheral neuropathy by depleting vitamin B6 (pyridoxine). Supplementing with pyridoxine prevents this adverse effect.

C. Incorrect: Vitamin K is used for warfarin reversal and does not prevent neuropathy.

D. Incorrect: Protamine sulfate is an antidote for heparin overdose, unrelated to INH therapy.

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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. Stop taking this medication and avoid exercise until the inflammation subsides. B. Continue taking this medication and increase physical activity. C. Educate the client to increase the dose of this medication and physical activity D. Educate the client medication to take this medication as needed.

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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A nurse is caring for a client who has diabetes mellitus and pulmonary tuberculosis, and a new prescription for isoniazid. The client reports tingling and numbness of the hands and feet. The nurse should expect which of the following drugs to prevent this adverse effect of INH?

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

Correct Answer is A

Explanation

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?

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