The nurse is reviewing the client's prescriptions.
For each body system below, click to highlight the findings that indicate a serious adverse reaction. To deselect a finding, click on the finding again. Each body system may support more than 1 potential assessment finding.
|
Body Systems |
Findings |
|
Head, Eyes, Ears, Nose, and Throat (HEENT) |
Yellowing of the eyes Blurred vision Dry eyes |
|
Gastrointestinal |
Abdominal pain Hard stool |
|
Hematologic |
Increased bruising Increased bleeding tendency Insomnia |
|
Genitourinary |
Red/orange tint to urine Darkening of the urine |
Yellowing of the eyes
Blurred vision
Dry eyes
Abdominal pain
Hard stool
Increased bruising
Increased bleeding tendency
Insomnia
Red/orange tint to urine
Darkening of the urine
The Correct Answer is ["A","B","D","F","G","I","J"]
Yellowing of the eyes could indicate hepatotoxicity, a serious adverse effect associated with some of the anti-tuberculosis medications, particularly rifampin.
Blurred vision could be a sign of optic neuritis, a rare but serious adverse effect associated with ethambutol.
Abdominal pain could indicate hepatitis or hepatotoxicity, which are potential adverse effects of anti-tuberculosis medications like isoniazid and rifampin.
Increased bruising could indicate thrombocytopenia, a serious adverse effect associated with some anti-tuberculosis medications, particularly rifampin.
Increased bleeding tendency could also indicate thrombocytopenia or other hematologic abnormalities.
Red/orange tint to urine could indicate rifampin-induced discoloration of bodily fluids, which is not harmful but can be alarming to patients.
Darkening of urine could also be a result of rifampin-induced discoloration. It's important to differentiate between this harmless side effect and hematuria, which could indicate a more serious issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The infants’s head should not be covered while receiving phototherapy, as the skin needs to be exposed to the therapy. However, it is essential to ensure that the infant's eyes are protected from the light.
B. Applying lotion may interfere with the effectiveness of phototherapy by blocking the light’s effects and is unnecessary for managing jaundice in newborns.
C. Giving glucose water is unnecessary and may interfere with the infant's hydration and nutritional needs during phototherapy.
D. Ensuring that the newborn wears a diaper to prevent soiling of the phototherapy equipment and to allow for the monitoring of urinary output, which is an important indicator of the newborn's health during treatment.
Correct Answer is A
Explanation
A. The Neonatal Infant Pain Scale (NIPS) is commonly used to assess pain in newborns, particularly in the neonatal intensive care unit (NICU) setting. It evaluates specific indicators of pain, such as facial expression, crying, and breathing patterns.
B. The FACES pain rating scale is more commonly used in older children who can understand and communicate using a visual scale of faces depicting different levels of pain intensity.
C. Visual analog scales are typically used in older children and adults to rate pain intensity on a linear scale.
D. The Premature Infant Pain Profile is specifically designed for premature infants and evaluates physiological and behavioral indicators of pain.
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