A patient is receiving linezolid IV for nosocomial pneumonia.
Which assessment finding is most important for the nurse to report to the healthcare provider?
Watery diarrhea.
Increased fatigue.
Nausea and headache.
Yellow-tinged sputum.
The Correct Answer is A
Choice A rationale
Watery diarrhea is a significant side effect of linezolid and could indicate a serious condition called antibiotic-associated colitis, which is caused by an overgrowth of the bacterium Clostridium difficile. This condition requires immediate medical attention.
Choice B rationale
Increased fatigue is a common side effect of many medications, including linezolid. While it should be reported to the healthcare provider, it is not as urgent as watery diarrhea.
Choice C rationale
Nausea and headache are common side effects of linezolid. While they should be reported to the healthcare provider, they are not as urgent as watery diarrhea.
Choice D rationale
Yellow-tinged sputum could indicate an infection or other lung condition. However, in the context of a patient receiving linezolid for nosocomial pneumonia, it is not as urgent as watery diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"}}
Explanation
Based on the questionand the known effects of furosemide, here’s how each assessment finding can be categorized:
- Potassium 3.1 mEq/L: This is anon-therapeutic side effect.Furosemide is a diuretic that increases the excretion of water, sodium, and potassium from the body.This can lead to hypokalemia, or low potassium levels.
- Prothrombin time/INR 2.2: This is likely anunrelated finding.Furosemide does not typically affect prothrombin time or INR.However, the patient is also taking warfarin, which is an anticoagulant known to increase INR.
- Urine output: 600 mL: This is atherapeutic result.Furosemide works by increasing the amount of urine the body makes, which helps reduce swelling and symptoms of fluid retention.
Correct Answer is B
Explanation
Choice A rationale
While it’s always important to inform the medical team of any allergies, there’s no specific link between shellfish or iodine allergies and cystoscopy.
Choice B rationale
After a cystoscopy, patients should report any instances of painful urination, blood in urine, or fever. These could be signs of complications such as infection.
Choice C rationale
There’s no specific need for patients to refrain from strenuous activities and sports for at least 2 weeks after a cystoscopy.
Choice D rationale
Remaining in a prone position for 24 hours after the procedure is not a standard recommendation following a cystoscopy.
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