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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hypertension is a serious manifestation of an interaction between phenelzine, a monoamine oxidase inhibitor (MAOI), and tyramine-rich foods like aged cheese. This interaction can lead to a hypertensive crisis, which is a medical emergency.
B. Diarrhea is not a typical manifestation of the interaction between phenelzine and tyramine-rich foods. The primary concern is hypertension.
C. Bradycardia is not associated with the interaction between phenelzine and tyramine-rich foods. The interaction typically causes an increase in blood pressure, not a decrease in heart rate.
D. Somnolence is not a common manifestation of this interaction. The primary concern is the risk of hypertensive crisis.
Correct Answer is C
Explanation
A. Diarrhea is not a common adverse effect of total parenteral nutrition (TPN). TPN is administered intravenously, bypassing the gastrointestinal tract, so it does not typically cause diarrhea.
B. Aspiration pneumonia is not associated with TPN, as TPN is delivered directly into the bloodstream and does not involve the respiratory system.
C. Electrolyte imbalance is a significant adverse effect of TPN. TPN solutions contain various electrolytes, and improper formulation or administration can lead to imbalances, which can cause serious complications such as cardiac arrhythmias, muscle weakness, and neurological issues.
D. Nausea is not commonly associated with TPN, as it bypasses the gastrointestinal tract. Nausea may occur due to other underlying conditions but is not a direct adverse effect of TPN.
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