A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?

Blurred vision

Jaundice

Irregular heart rate

Constipation

Answer and Explanation

The Correct Answer is B

A. Blurred vision can be a side effect of many medications, but it is not a common adverse effect specifically associated with rifampin. Rifampin’s side effects are more commonly related to liver function and gastrointestinal issues.
B. Jaundice is a significant adverse effect of rifampin, indicating potential liver damage. Rifampin can cause hepatotoxicity, leading to elevated liver enzymes and bilirubin levels, which manifest as jaundice. Monitoring liver function tests is crucial for clients on rifampin to detect any early signs of liver damage.
C. Irregular heart rate is not typically associated with rifampin. While rifampin can interact with other medications that affect heart rate, it does not directly cause arrhythmias.
D. Constipation is not a common adverse effect of rifampin. Gastrointestinal side effects of rifampin usually include nausea, vomiting, and diarrhea rather than constipation.

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Correct Answer is D

Explanation

A. Famotidine is an H2 receptor antagonist used to treat conditions like ulcers and gastroesophageal reflux disease (GERD). It does not contain sulfonamide and is generally safe for patients with sulfonamide allergies.
B. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, fever reduction, and anti-inflammatory purposes. It does not contain sulfonamide and is not contraindicated for patients with sulfonamide allergies.
C. Metronidazole is an antibiotic used to treat various infections, including those of the gastrointestinal tract and the reproductive system. It does not contain sulfonamide and is safe for patients with sulfonamide allergies.
D. Glyburide is a sulfonylurea used to treat type 2 diabetes by increasing insulin production in the pancreas. It contains sulfonamide and can cause allergic reactions in patients with sulfonamide allergies, making it contraindicated.

A. Vomiting 30 mL of fluid B. Blood pressure 90/60 mm Hg C. Respirations deep at a rate of 10/min D. Urinary output of 20 mL within 1 hr

Correct Answer is C

Explanation

A. Vomiting 30 mL of fluid. This finding is not the priority because while vomiting can be a side effect of morphine, it is not immediately life-threatening.
B. Blood pressure 90/60 mm Hg. This finding is concerning but not the priority. Morphine can cause hypotension, but the primary concern with morphine administration is respiratory depression.
C. Respirations deep at a rate of 10/min. This finding is the priority because morphine can cause respiratory depression, which can be life-threatening. Monitoring and addressing respiratory status is critical when administering opioids.
D. Urinary output of 20 mL within 1 hr. This finding is concerning but not the priority. Low urinary output can indicate dehydration or renal issues, but respiratory depression is the most immediate concern with morphine administration.

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A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?

Correct Answer is D

Explanation

A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?

Correct Answer is C

Explanation

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