A nurse is teaching a client who has tuberculosis about the prescribed drug regimen, which includes isoniazid, rifampin, pyrazinamide, and ethambutol.
The nurse should instruct the client to report which signs or symptoms as possible adverse effects of these drugs? (Select all that apply.)

Jaundice

Vision changes

Hearing loss

Orange-colored urine

Numbness in the hands or feet.

Answer and Explanation

Correct Answer : A,B,E

Jaundice, vision changes and numbness in the hands or feet are possible adverse effects of the drugs used to treat tuberculosis. The nurse should instruct the client to report these signs or symptoms as they may indicate liver damage, optic neuritis or peripheral neuropathy respectively.

Choice C is wrong because hearing loss is not a common side effect of these drugs. Hearing loss may be caused by other drugs such as aminoglycosides.

Choice D is wrong because orange-colored urine is a harmless side effect of rifampin and does not need to be reported.

The nurse should inform the client about this expected change and reassure them that it is not harmful.

The normal ranges for liver function tests are:

• AST: 10-40 U/L

• ALT: 7-56 U/L

• ALP: 45-115 U/L

• Bilirubin: 0.1-1.2 mg/dL

The normal range for visual acuity is 20/20.

The normal range for sensation is intact and symmetrical in all extremities.

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 B

Explanation

A superinfection is defined as an infection that comes second to an initial infection and is often caused by the elimination of normal flora by an antibiotic.

Normal flora are the microorganisms that normally live in the human body and help prevent the growth of harmful pathogens.

When an antibiotic kills the normal flora, it creates an opportunity for other microorganisms to overgrow and cause a new infection.

Choice A is wrong because a resistant infection is an infection that does not respond to an antibiotic due to the presence of resistant bacteria.

Resistance can occur when bacteria mutate or acquire genes that make them able to survive the antibiotic.

Choice C is wrong because a nosocomial infection is an infection that is acquired in a hospital or health care setting.

Nosocomial infections can be caused by various factors, such as exposure to contaminated equipment, poor hygiene practices, or transmission from other patients or staff.

Choice D is wrong because an allergic reaction is an immune response to a foreign substance that is not harmful.

Allergic reactions can occur when a person is sensitive to an antibiotic or any other drug.

Symptoms of an allergic reaction may include rash, itching, swelling, or difficulty breathing.

A. Diarrhea B. Headache C. Chest pain D. Nausea.

Correct Answer is C

Explanation

Azithromycin is a macrolide antibiotic that can cause a rare but serious side effect calledQT prolongation, which affects the electrical activity of the heart and can lead toirregular heartbeats, chest pain, and sudden cardiac death. The patient should report any signs of chest pain or palpitations to the doctor immediately.

Choice A is wrong because diarrhea is a common side effect of azithromycin that usually does not require medical attention unless it is severe or bloody.

Choice B is wrong because headache is also a common side effect of azithromycin that usually does not require medical attention unless it is severe or persistent.

Choice D is wrong because nausea is another common side effect of azithromycin that usually does not require medical attention unless it is severe or accompanied by vomiting.

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 teaching a client who has tuberculosis about the prescribed drug regimen, which includes isoniazid, rifampin, pyrazinamide, and ethambutol. The nurse should instruct the client to report which signs or symptoms as possible adverse effects of these drugs? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what?

Correct Answer is B

Explanation

A patient has been prescribed azithromycin, a macrolide antibiotic, for a respiratory infection. The nurse should instruct the patient to report which of the following signs or symptoms of a potential adverse effect?

Correct Answer is C

Explanation

The nurse identifies which host factor as the most important when choosing an antimicrobial drug?

The nurse is caring for a patient receiving vancomycin (Vancocin) for treatment of an infection caused by methicillin-resistant Staphylococcus aureus (MRSA). Which assessment finding would indicate a potentially serious adverse reaction to this drug?

A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection. The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

A nurse is educating a group of travelers who are going to a region where malaria is endemic. Which of the following antimalarial drugs should the nurse recommend for prophylaxis? (Select all that apply.).

A nurse is administering penicillin to a client who has streptococcal pharyngitis. The nurse should monitor for which adverse effect of penicillin therapy?

A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection. Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).

A nurse is teaching a client who has tuberculosis about the prescribed drug regimen, which includes isoniazid, rifampin, pyrazinamide, and ethambutol. The nurse should instruct the client to report which signs or symptoms as possible adverse effects of these drugs? (Select all that apply.)

A nurse is teaching a client who has tuberculosis about the prescribed drug regimen, which includes isoniazid, rifampin, pyrazinamide, and ethambutol.
The nurse should instruct the client to report which signs or symptoms as possible adverse effects of these drugs? (Select all that apply.)