A nurse is teaching a client who has a new prescription for isoniazid. Which of the following information should the nurse include in the teaching?

"You will need to have frequent sputum tests to monitor the effectiveness of the medication."

"You will be able to stop taking this medication after a month."

"You can take an antacid containing aluminum at the same time as this medication."

"You can expect to have constipation while taking this medication."

Answer and Explanation

The Correct Answer is A

A. Frequent sputum tests may be needed to monitor the effectiveness of isoniazid, particularly in assessing the resolution of tuberculosis infection.

B. Isoniazid is usually prescribed for a minimum of six months for tuberculosis treatment, not just a month. Thus, stopping after one month is incorrect.

C. Antacids containing aluminum should not be taken concurrently with isoniazid, as they can interfere with the absorption of the medication, reducing its effectiveness.

D. Constipation is not a common side effect of isoniazid. The more frequent side effects include peripheral neuropathy and liver toxicity, making this statement incorrect.

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Correct Answer is B

Explanation

A. Dyspepsia: While dyspepsia can be uncomfortable, it is not a critical finding that requires immediate reporting to the provider. It may be a common side effect of statins but typically does not warrant urgent intervention.

B. Elevated creatine kinase: An elevated creatine kinase level can indicate muscle damage, which is a serious side effect associated with rosuvastatin and other statins. This finding requires immediate reporting to prevent complications such as rhabdomyolysis.

C. Headache: A headache may occur with many medications and does not usually require immediate reporting unless it is severe or persistent.

D. Mostly cloudy: This option does not pertain to any specific clinical finding or symptom and is therefore not relevant to the question.

E. Decreased HDL cholesterol: While low HDL cholesterol can be a concern, it is not as urgent as elevated creatine kinase levels and typically does not require immediate action.

A. Heart rate 105/min B. Infiltration of the peripheral IV C. Increased blood pressure D. Occasional premature ventricular complexes (PVCs)

Correct Answer is B

Explanation

A. A heart rate of 105/min is slightly elevated, but it does not require immediate intervention unless the client is symptomatic or has other concerning signs.

B. Infiltration of the peripheral IV requires immediate intervention, as it can lead to tissue damage and prevent the medication from being effectively delivered. The nurse should stop the infusion, assess the site, and take appropriate action.

C. Increased blood pressure is a common effect of dopamine administration and does not necessarily require urgent intervention unless it becomes critically high or is associated with other adverse symptoms.

D. Occasional PVCs can occur during dopamine infusion and can be monitored unless they become frequent or symptomatic; they typically do not require immediate intervention.

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A nurse is teaching a client who has a new prescription for isoniazid. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking rosuvastatin. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is B

Explanation

A nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse?

Correct Answer is B

Explanation

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