A nurse is providing medication education to a patient newly prescribed ethambutol for tuberculosis (TB) treatment. The nurse should instruct the patient to report which of the following side effects immediately?
Blurred vision or difficulty distinguishing red from green
Increased thirst and frequent urination
Nausea and vomiting
Tingling sensations in the hands and feet
The Correct Answer is A
A. Blurred vision or difficulty distinguishing red from green: Ethambutol can cause optic neuritis, which may lead to vision changes, including blurred vision and difficulty distinguishing red from green. These symptoms should be reported immediately, as discontinuing the medication may be necessary to prevent permanent damage.
B. Increased thirst and frequent urination: These symptoms are more indicative of hyperglycemia or diabetes mellitus rather than a known adverse effect of ethambutol.
C. Nausea and vomiting: While nausea and vomiting are potential side effects of ethambutol, they are not as urgent as vision changes and do not typically require immediate medical attention.
D. Tingling sensations in the hands and feet: Peripheral neuropathy is more commonly associated with isoniazid rather than ethambutol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Skeletal traction has less risk for infection than skin traction." Skeletal traction involves pins and has a higher infection risk than skin traction.
B. "Skeletal traction is more appropriate than skin traction for reducing a fracture." Skeletal traction provides stronger and more stable force, making it more appropriate for fracture reduction.
C. "Clients with skin traction have more discomfort than those with skeletal traction." Skeletal traction is usually more painful due to pins inserted into the bone.
D. "Skin traction is primarily used for long-term stabilization of fractures." Skin traction is typically used short-term before surgery.
Correct Answer is B
Explanation
A. "Handwashing is not necessary since impetigo is not contagious." Impetigo is highly contagious, and proper hand hygiene is essential to prevent its spread to others.
B. “I should apply Mupirocin (Bactroban) to the affected areas as prescribed." Mupirocin (Bactroban) is the standard topical antibiotic treatment for impetigo and should be applied as prescribed to reduce bacterial colonization and promote healing.
C. “I don't need to cover the lesions; they should be left open to the air." Covering the lesions can help prevent the spread of infection by minimizing contact with contaminated surfaces.
D. “I will let my child scratch the lesions to help them dry out faster." Scratching can worsen the infection, spread bacteria to other parts of the body, and lead to secondary infections.
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