A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following information should the nurse include in the teaching?
"You should report the presence of brown-colored urine."
"This medication can provide relief of peripheral nerve pain."
"This medication can be crushed to facilitate swallowing."
"Notify the provider if you develop a cough."
The Correct Answer is D
A. Brown-colored urine is an expected harmless side effect of nitrofurantoin and does not need to be reported.
B. Nitrofurantoin is an antibiotic used for urinary tract infections; it does not relieve peripheral nerve pain.
C. Some formulations of nitrofurantoin, especially extended-release capsules, should not be crushed because this can affect absorption and efficacy.
D. Nitrofurantoin can cause pulmonary toxicity, including cough, dyspnea, or chest pain. Clients should notify the provider immediately if respiratory symptoms develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Terazosin is indicated for the treatment of hypertension as it functions by relaxing blood vessels, thereby lowering blood pressure.
B. Terazosin is not indicated for heart failure; other specific medications are typically used for this condition.
C. Male pattern baldness is treated with other agents such as finasteride, not terazosin.
D. Terazosin is indicated for benign prostatic hypertrophy (BPH), as it helps relieve urinary symptoms associated with an enlarged prostate by relaxing the smooth muscles in the prostate and bladder neck.
E. Terazosin is not indicated for erectile dysfunction; it is primarily prescribed for hypertension and BPH.
Correct Answer is C
Explanation
A. Applying a warming blanket is not appropriate and may worsen the client’s reaction to the infusion. It does not help prevent infusion-related reactions.
B. Infusing amphotericin B deoxycholate over 1 hour is too fast; the medication should be infused over 2-6 hours to reduce the risk of adverse effects.
C. Administering diphenhydramine prior to administration is recommended to help prevent infusion-related reactions, such as fever and chills, which the client experienced during previous infusions.
D. Monitoring vital signs once per hour is inadequate; vital signs should be monitored more frequently during and immediately after the infusion to promptly identify and manage any adverse reactions.
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