A patient with tuberculosis returns to the clinic for daily antibiotic injections for a urinary infection.
The patient has been taking antitubercular medications for 10 weeks and reports ringing in the ears.
Which prescribed medication should the practical nurse (PN) report to the healthcare provider?ider?

Pyridoxine with a B complex multivitamin by mouth (PO) daily.

Rifampin 600 mg by mouth (PO) daily.

Gentamicin 160 mg intramuscular (IM) daily.

Isoniazid 300 mg by mouth (PO) daily.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Pyridoxine with a B complex multivitamin is not typically associated with ototoxicity (ringing
in the ears)7.
Choice B rationale
Rifampin is an antitubercular medication, but it is not commonly associated with ototoxicity.
Choice C rationale
Gentamicin is an antibiotic that is known to potentially cause ototoxicity, including ringing in
the ears. Therefore, if a patient who has been receiving gentamicin reports ringing in the ears,
this should be reported to the healthcare provider.
Choice D rationale
Isoniazid is an antitubercular medication, but it is not commonly associated with ototoxicity.

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Correct Answer is A

Explanation

Benztropine is used as an adjunct therapy for the treatment of all forms of Parkinson’s disease3. It works by reducing the activity of acetylcholine, a neurotransmitter that nerve terminals release to make muscles contract3. One of the side effects of benztropine is dry mouth3. If a patient reports having a very dry mouth, the practical nurse should administer the scheduled medication and provide oral care to help alleviate the symptom3.

A. Attach the client to a continuous cardiac monitor B. Place an indwelling urinary catheter C. Give a fluid bolus D. Draw a basic metabolic panel (BMP)

Correct Answer is A

Explanation

Choice A rationale

Given the client’s high blood pressure and complaint of a headache, it is important to continuously monitor the client’s cardiac status to detect any changes that may indicate worsening condition.

Choice B rationale

Placing an indwelling urinary catheter is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.

Choice C rationale

Giving a fluid bolus is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.

Choice D rationale

Drawing a basic metabolic panel (BMP) could be helpful in assessing the client’s overall health and kidney function, but it is not the immediate next step in this client’s care.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is preparing to administer a scheduled dose of benztropine to a client with Parkinson’s disease. The client reports having a very dry mouth. Which action should the PN take?

Correct Answer is A

Explanation

The client’s heart rate is 96 beats per minute, blood pressure is 220/129 mmHg, and respiratory rate is 18 breaths per minute. The client is complaining of a headache. Ibuprofen was given as ordered. Furosemide 50 mg IV was also given. What should be the next step in the client’s care?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A client who had a recent kidney transplant is taking cyclosporin. Which dietary restriction should the practical nurse reinforce with the client and family members?

A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

The Practical Nurse (PN) is reinforcing information with a patient who has been diagnosed with Human Immunodeficiency Virus (HIV) about the antiretroviral medication regimen. Which patient statement should the PN recognize as requiring an additional review of the information?

A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

The practical nurse applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved?

A client with a history of long-term administration of ibuprofen receives a prescription for misoprostol. Which finding indicates to the practical nurse (PN) that the medication was effective?