A nurse is monitoring a client receiving Isoniazid for adverse effects. The nurse determines that the client is experiencing a side effect of the medication, in which of the following?

Red-orange colored bodily secretions

Tingling sensation in fingers and toes. This symptom can be improved by taking vitamin B6 (pyridoxine)

Difficulty distinguishing the color red from green

Light sensitivity

Answer and Explanation

The Correct Answer is B

Choice A reason: Red-orange colored bodily secretions are a well-known side effect of the medication rifampin, not isoniazid. Rifampin is often used in combination therapy for tuberculosis, and it can cause the patient's urine, sweat, tears, and other bodily fluids to become red or orange in color. However, this specific side effect is not associated with isoniazid, which is used as a part of the treatment regimen for tuberculosis but does not cause this particular discoloration.

Choice B reason: Tingling sensation in fingers and toes, also known as peripheral neuropathy, is a recognized side effect of isoniazid. Isoniazid can interfere with vitamin B6 (pyridoxine) metabolism, leading to a deficiency. This deficiency causes neuropathy, resulting in tingling, numbness, or burning sensations in the extremities. To prevent this side effect, patients receiving isoniazid are often prescribed vitamin B6 supplements. These supplements help prevent the development of peripheral neuropathy by ensuring adequate levels of vitamin B6 in the body, which is essential for nerve health.

Choice C reason: Difficulty distinguishing the color red from green, or color blindness, is not a side effect of isoniazid. Color vision deficiency is not associated with the use of isoniazid. Other medications, such as ethambutol, used in tuberculosis treatment can cause visual disturbances, including changes in color vision, but isoniazid does not typically affect color perception. Isoniazid's primary neurological side effect is peripheral neuropathy rather than issues with color vision.

Choice D reason: Light sensitivity, or photophobia, is not a common side effect of isoniazid. This symptom is more likely to be associated with other conditions or medications that affect the eyes or central nervous system. Isoniazid's side effects are primarily related to liver toxicity and peripheral neuropathy, rather than causing sensitivity to light. Therefore, experiencing photophobia would not be directly attributable to isoniazid therapy and would require further investigation to determine the underlying cause.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Amoxicillin is an antibiotic used to treat bacterial infections and is not relevant to the management of atrial fibrillation. Atrial fibrillation is a cardiac condition, and antibiotics do not play a role in its treatment.

Choice B reason: Reglan (metoclopramide) is a medication used to treat gastrointestinal issues such as gastroparesis and is not used in the management of atrial fibrillation. It does not address the primary concerns associated with atrial fibrillation, such as stroke risk and heart rate control.

Choice C reason: Omeprazole is a proton pump inhibitor used to treat gastroesophageal reflux disease (GERD) and other acid-related conditions. It is not used in the management of atrial fibrillation and does not address the primary concerns associated with the condition.

Choice D reason: Rivaroxaban (Xarelto) is an anticoagulant (blood thinner) commonly prescribed to patients with atrial fibrillation to reduce the risk of stroke. Atrial fibrillation increases the risk of blood clots forming in the heart, which can travel to the brain and cause a stroke. Rivaroxaban helps prevent these clots from forming, thereby reducing the risk of stroke in patients with atrial fibrillation.

A. Hypercalcemia B. Hypocalcemia C. Hypophosphatemia D. Hypermagnesemia

Correct Answer is B

Explanation

Choice A reason: Hypercalcemia refers to high levels of calcium in the blood, but a positive Chvostek sign is not indicative of hypercalcemia. In fact, hypercalcemia generally results in symptoms such as muscle weakness, fatigue, and nausea rather than the specific neuromuscular irritability seen with a positive Chvostek sign.

Choice B reason: Hypocalcemia refers to low levels of calcium in the blood and is associated with a positive Chvostek sign. The Chvostek sign is a clinical test where tapping on the facial nerve triggers twitching of the facial muscles. This occurs due to increased neuromuscular excitability caused by low calcium levels.

Choice C reason: Hypophosphatemia refers to low levels of phosphate in the blood. It is not directly associated with a positive Chvostek sign. While electrolyte imbalances can affect neuromuscular function, hypocalcemia is specifically linked to the Chvostek sign.

Choice D reason: Hypermagnesemia refers to high levels of magnesium in the blood and is not related to a positive Chvostek sign. Hypermagnesemia often causes symptoms such as muscle weakness, nausea, and hypotension rather than the neuromuscular irritability seen with a positive Chvostek sign.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is monitoring a client receiving Isoniazid for adverse effects. The nurse determines that the client is experiencing a side effect of the medication, in which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is newly diagnosed with Atrial Fibrillation and is being discharged home today. Their heart rate is controlled at 88 bpm and BP is 121/68. They deny dizziness or fatigue. What medication do we expect this patient will be discharged home with?

Correct Answer is D

Explanation

A patient has a positive Chvostek sign. The nurse interprets this as a sign of:

Correct Answer is B

Explanation

A 46-year-old male diagnosed with gouty arthritis is at high risk for developing:

A patient presents with severe chest pain and shortness of breath and is diagnosed with pulmonary embolism. The embolism most likely originated from the:

While hospitalized, an elderly patient with a history of myocardial infarction was noted to have high levels of low-density lipoproteins (LDLs). What is the significance of this finding?

A nursing student asks a nurse to explain the differences between amphotericin B and the azoles group of antifungal agents. Which statement by the nurse is correct?

A 54-year-old reports vomiting blood. Tests reveal portal hypertension. Which of the following is the most likely cause of this condition?

A patient presents to a primary care provider reporting chest pain and is diagnosed with stable angina and atherosclerosis. This disease is caused by:

Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:

A patient presents to a primary care provider reporting fever, headache, nuchal rigidity, and decreased consciousness. History includes a previously treated sinusitis. Which medical diagnosis is best supported by this assessment data?