An RN is caring for a patient with Tuberculosis who is to receive a new prescription for Isoniazid (INH). The nurse knows that INH can cause peripheral neuropathy. To help prevent this from happening, the nurse can ask the provider for:

Phenazopyridine

Phentolamine

Vitamin B6 (Pyridoxine)

Pyrazinamide

Answer and Explanation

The Correct Answer is C

A.   This medication is used primarily to relieve urinary tract discomfort and does not have any role in preventing peripheral neuropathy associated with INH. It is not relevant in this context.
B.   Phentolamine is an alpha-adrenergic antagonist used to treat hypertension and manage pheochromocytoma. It has no association with preventing peripheral neuropathy related to INH and is not appropriate for this patient.
C.   Isoniazid can cause peripheral neuropathy by interfering with the metabolism of pyridoxine (Vitamin B6). Administering pyridoxine can help prevent this side effect by replenishing the vitamin and supporting nerve health.
D.   Pyrazinamide is another anti-tuberculosis medication that works alongside INH. While it is effective for tuberculosis, it does not prevent peripheral neuropathy and may even have its own side effects.

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. While taking a multivitamin can provide additional nutrients, it is generally not a cause for concern unless the multivitamin contains high doses of certain minerals that might interact negatively with iron absorption. However, this is less pressing compared to the interaction between antacids and iron.
B. Antacids can significantly interfere with the absorption of oral iron supplements, leading to inadequate treatment of iron deficiency anemia. This is the most concerning finding because it may negate the effectiveness of the iron supplementation, making it harder for the patient to improve their iron levels.
C. Black stools are a common and expected side effect of iron supplementation due to the presence of unabsorbed iron in the gastrointestinal tract. While the nurse should monitor for this, it is not inherently concerning as it indicates that the iron is being ingested.
D. Constipation is a common side effect of iron supplements. Although it can be uncomfortable, it is not as critical as the potential interference caused by taking antacids. Management strategies can often alleviate this side effect.

A. TPN should flow through a filtered IV line B. No other drugs should be infused through the TPN line C. If TPN gets stopped or runs out, hang a bag of D10% W D. TPN IV tubing and bag should be changed every 24 hrs E. TPN should be administered through a central line

Correct Answer is ["A","B","D","E"]

Explanation

A. Using a filtered IV line helps remove any particulate matter that could be present in the TPN solution, reducing the risk of complications such as phlebitis or embolism.
B. TPN should have its own dedicated line to prevent incompatibilities and ensure the TPN solution is delivered without interference. Infusing other medications through the same line can lead to complications and reduce the effectiveness of TPN.
C. If TPN gets stopped or runs out, a bag of 5% dextrose in water (D5W) should be hung to prevent hypoglycemia. D10% is too concentrated and can cause hyperglycemia.
D. To minimize the risk of infection and maintain sterility, TPN bags and tubing should be replaced every 24 hours. This helps prevent bacterial growth in the TPN solution.
E. TPN is typically administered through a central line because it allows for the infusion of hypertonic solutions that can irritate peripheral veins. Central lines provide better access to larger blood vessels, reducing the risk of complications.

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

An RN is caring for a patient with Tuberculosis who is to receive a new prescription for Isoniazid (INH). The nurse knows that INH can cause peripheral neuropathy. To help prevent this from happening, the nurse can ask the provider for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with iron deficiency anemia who is taking oral iron supplements is evaluated by the nurse in the outpatient clinic. Which finding by the nurse is of MOST concern?

Correct Answer is B

Explanation

Which of the following is are appropriate nursing interventions to ensure the safety of a patient who is receiving Total Parenteral Nutrition (TPN)? (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

Patients receiving chemotherapy are at risk for thrombocytopenia related to chemotherapy or disease processes. Which actions. are needed for patients who must be placed on bleeding precautions? (Select all that apply)

A nurse is reviewing urinalysis results for four clients. Which of the following urinalysis results indicates urinary tract infection?

You are caring for a patient who has Sickle Cell Disease (SCD) who is in the hospital for an acute worsening of their disease. Your patient is receiving ATC opioids for their severe pain, when they suddenly report a new sharp pain in their left shoulder. What is your BEST action?

Your patient has just received a new diagnosis of Rheumatoid Arthritis. They are confused about their prescriptions, however. They ask you "Why am I receiving so many medications? I thought this 'MTX' drug was the one that would treat my arthritis?". What is your BEST response?

Your patient with Iron deficiency anemia is receiving Iron Dextran when their blood pressure suddenly starts to drop, their respiratory rate increases, and their breath becomes wheezy- sounding. Your PRIORITY intervention will be:

Your cancer patient has bone marrow suppression from their chemotherapy treatments, and is scheduled to receive Epoetin Alfa shots 3 times per week. Which of the following lab values would cause you to hold the administration of the medication for safety concerns?

A nurse is caring for a client who has pneumonia. Assessment findings include T 100.4 deg F, RR 30, BP 130/76, HR 100, and SpO2 91% on room air. Which of the following is the PRIORITY intervention?

A nurse is reviewing the plan of care for a client who has systemic lupus erythematosus (SLE). The client reports fatigue, joint tenderness, swelling, and difficulty urinating. Which of the following laboratory findings should the nurse anticipate? (Select all that apply)