A nurse is caring for a client who is prescribed with for a gastrointestinal (GI) infection. The client has been taking the medication for two weeks and noted some redness and swelling at the Achilles tendon site. Based on the client's presenting Signs and symptoms. Which is the priority intervention for the nurse?

Stop taking this medication and avoid exercise until the inflammation subsides.

Continue taking this medication and increase physical activity.

Educate the client to increase the dose of this medication and physical activity

Educate the client medication to take this medication as needed.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is B

Explanation

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.

A. Blood creatinine B. Blood culture C. Urine culture and sensitivity D. Complete Blood Count (CBC)

Correct Answer is C

Explanation

A. Incorrect – Blood creatinine: Measures kidney function but does not diagnose UTIs or identify the causative organism.

B. Incorrect – Blood culture: Used to detect bacteria in the bloodstream (e.g., sepsis) but does not identify a UTI-causing pathogen.

C. Correct – Urine culture and sensitivity: This test identifies the specific bacteria causing the UTI and determines which antibiotics will be most effective for treatment.

D. Incorrect – Complete Blood Count (CBC): Can show elevated WBCs, indicating infection, but does not determine the pathogen.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is teaching a client about the manifestations of urinary tract infection. Which of the following tests is needed to determine which microorganism is causing the infection?

Correct Answer is C

Explanation

A nurse is caring for a client with a new diagnosis of herpes zoster. Which of the following medications should the nurse anticipate providing to this client?

A nurse is planning discharge teaching for a female client who has a prescription for trimethoprim-sulfamethoxazole (Bactrim). Which of the following information should the nurse include?

Which of the following medications are considered antibiotics to treat infections? (Select All that Apply)

A nurse is preparing to administer a drug via an intramuscular (IM) route to an adult client who has a bacterial infection. Which actions should the nurse plan to take? (Select All That Apply.)

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?

A nurse is teaching a client about taking to treat a gastrointestinal (Gl) infection due to Helicobacter pylori. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

A nurse is administering gentamicin by intravenous (IV) route at 0900. The medication will take 60 minutes to infuse. When should the nurse obtain a blood sample for a peak blood level of gentamicin?

A nurse is planning to administer by intravenous (IV) route to a client who has cystitis. Which of the following actions should the nurse take?