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 B

Explanation

A. Check the client’s medical record for medication and food interactions is important, but it may not provide comprehensive information about all potential interactions.
B. Consult a drug reference guide for possible interactions is the best action. Drug reference guides provide detailed and up-to-date information about potential food and medication interactions, ensuring safe administration.
C. Ask another nurse if they are aware of potential interactions can be helpful, but it should not be the primary source of information. It is better to rely on authoritative drug reference guides.
D. Have the client take the medication on an empty stomach to avoid interactions is not always appropriate. Some medications need to be taken with food to enhance absorption or reduce gastrointestinal side effects.

A. Diarrhea B. Aspiration pneumonia C. Electrolyte imbalance D. Nausea

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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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

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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