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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
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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