The nurse is reconciling medications for a new client.

Given the current medications listed below, which assessment finding should the nurse be most concerned about? Current Home Medications: metoprolol 25 mg PO daily metformin 500 mg PO BID isoniazid 600 mg IM two times per week rifampin 600 mg PO Daily streptomycin 1 gram IM two times per week acetaminophen 1000 mg PO Q6 hours as needed for pain or fever

Fasting blood sugar level of 130 mg/dL.

Yellow discoloration of the sclera.

Positive result on the tuberculin skin test.

Blood pressure reading of 100/70 mmHg.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While a fasting blood sugar level of 130 mg/dL is slightly elevated, it is not the most concerning finding given the current medications. Metformin is a medication used to control blood sugar levels in patients with diabetes, so this patient’s blood sugar is being managed.
Choice B rationale
Yellow discoloration of the sclera is a sign of jaundice, which can indicate liver damage. Given that this patient is taking several medications that can potentially cause liver damage (including isoniazid and acetaminophen), this finding is most concerning.
Choice C rationale
A positive result on the tuberculin skin test indicates exposure to tuberculosis, but it does not necessarily mean the patient has active tuberculosis. The patient is currently taking medications for tuberculosis (isoniazid and rifampin), indicating that this condition is being managed.
Choice D rationale
A blood pressure reading of 100/70 mmHg is within the normal range, so this would not be the most concerning finding. The patient’s metoprolol medication is used to manage blood pressure, indicating that this aspect of the patient’s health is being managed. Prednisone Prednisone Explore

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Correct Answer is B

Explanation

Choice A rationale
While a blood culture could be useful in diagnosing a systemic infection, it would not be the most appropriate intervention for a patient reporting watery diarrhea and abdominal cramps after 2 weeks of antibiotic therapy.
Choice B rationale
A stool sample should be collected to test for Clostridium difficile. This bacterium can overgrow in the gut during antibiotic therapy, leading to symptoms such as watery diarrhea and abdominal cramps.
Choice C rationale
Discontinuing the antibiotic immediately may not be the best course of action without confirming the cause of the symptoms.
Choice D rationale
Prescribing an antidiarrheal could alleviate discomfort, but it would not address the underlying cause of the symptoms.

A. Fasting blood sugar level of 130 mg/dL. B. Yellow discoloration of the sclera. C. Positive result on the tuberculin skin test. D. Blood pressure reading of 100/70 mmHg.

Correct Answer is B

Explanation

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Naxlex Comprehensive Predictor Exams

A patient has been on antibiotic therapy for 2 weeks and reports watery diarrhea and abdominal cramps. What intervention should the nurse suggest to the healthcare provider?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

A laxative has been ordered for a patient. The nurse checks the patient’s medical history and would be concerned if which condition is present?

When the nurse is about to administer nystatin, which has been prescribed by the physician for a client with an oral candida infection that includes the roof of the mouth and the back of the throat, what should be the first step?

A client with tuberculosis has been prescribed isoniazid and pyridoxine. Which adverse effects is the pyridoxine intended to prevent?

A patient has been prescribed the antibiotic doxycycline. What is the most important information for the nurse to include when educating the patient?

A patient calls the clinic and reports feeling unwell, with symptoms of rapid heart rate, severe headache, and light-headedness. The nurse notes that the patient was prescribed metronidazole a few days ago. What substance could likely be causing these symptoms?

A patient with liver failure has been admitted with hepatic encephalopathy and is prescribed lactulose every 2 hours. The patient is currently oriented and has had 6 loose, watery stools since 0700. The 1400 dose of lactulose is due. What should be the nurse’s next course of action?

A patient has been prescribed radioactive iodine in preparation for a total thyroidectomy due to thyroid cancer. What advice about taking the medication should the nurse provide?

A patient is scheduled for surgery this morning and the nurse is administering the morning medications. Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?