The client taking rifampin brings an orange-colored urine sample to the clinic. Which intervention should the nurse implement? (Select 3 correct answers)
Inform the client that her sweat may also turn orange-colored.
Teach the client that her tears may stain her contact lenses
Consult the prescriber for the possibility of rifampin overdose
Send the urine to the lab for a culture and sensitivity (C&5)
Reassure the client that this is normal and harmless
Correct Answer : A,B,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Magnesium hydroxide (Maalox): Maalox is an antacid, not a proton pump inhibitor.
B. Ranitidine (Zantac): Ranitidine is an H2 blocker (not a PPI).
C. Famotidine (Pepcid): Famotidine is an H2 receptor antagonist, not a proton pump inhibitor.
D. Omeprazole (Prilosec): Omeprazole is a proton pump inhibitor commonly prescribed for GERD.
Correct Answer is B
Explanation
A. Give the client's prn dose of lorazepam: Anxiolytics would mask symptoms and are not the immediate action for suspected hypoglycemia.
B. Check the client's fingerstick blood glucose level: NPH peaks several hours after morning dosing and can cause late-afternoon hypoglycemia; the immediate, appropriate action for anxious/shaky symptoms is to check a capillary glucose.
C. Have the client rate the level of anxiety: Subjective rating alone delays diagnosis -objective glucose check is priority.
D. Advise the client to sit in a recliner to relax: Relaxation does not identify or treat hypoglycemia and could delay urgent glucose correction.
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