The practical nurse (PN) notes that a home health client who is taking a fluoroquinolone to treat a respiratory infection is sitting on an uncovered, outdoor porch. Which action should the PN take?

Ask the client’s spouse why the client is sitting outside of their home

Notify the home health supervisor that the client’s condition is improved

Remind the client to wear sunblock and protective clothing while in sunlight

Encourage the client to stay indoors until the course of treatment is completed

Answer and Explanation

The Correct Answer is C

Choice A reason: Asking the spouse why the client is outside is irrelevant to the clinical concern. Fluoroquinolones cause photosensitivity, increasing sunburn risk. The focus should be on protecting the client from UV exposure, not investigating their location, making this choice unhelpful for addressing the drug’s side effect.

Choice B reason: Notifying the supervisor about an improved condition is premature and unrelated to the client being outdoors. Sitting outside does not indicate recovery, and the priority is addressing photosensitivity from fluoroquinolones, which risks skin damage, making this choice incorrect.

Choice C reason: Fluoroquinolones, like ciprofloxacin, increase photosensitivity by sensitizing skin to UV light, causing severe sunburn or rash. Reminding the client to use sunblock and protective clothing prevents dermal damage during sunlight exposure, directly addressing the drug’s side effect and ensuring safety.

Choice D reason: Encouraging staying indoors is overly restrictive and impractical. Photosensitivity can be managed with sunblock and clothing, allowing safe outdoor activity. This choice unnecessarily limits the client’s mobility, as proper precautions effectively mitigate the risk of UV-related skin damage.

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Correct Answer is D

Explanation

Choice A reason: Stating that HIV is not cured by antiretrovirals is correct, as these drugs suppress viral replication but do not eradicate the virus. HIV integrates into host DNA, requiring lifelong therapy. This understanding is accurate, requiring no further review from the PN.

Choice B reason: Antiretrovirals reduce AIDS-related complications by suppressing viral load, preserving immune function, and preventing opportunistic infections. This statement is correct, reflecting the drugs’ role in maintaining CD4 counts and immune health, so no additional instruction is needed.

Choice C reason: Antiretrovirals can reduce viral load to undetectable levels, preventing disease progression and transmission risk. This is accurate, as effective therapy lowers plasma HIV RNA, aligning with treatment goals. The statement requires no further review, as it reflects correct understanding.

Choice D reason: Claiming antiretrovirals prevent transmission is inaccurate, as they reduce but do not eliminate transmission risk. Undetectable viral loads lower risk significantly, but transmission is still possible, especially with inconsistent adherence. This misstatement requires review to clarify transmission risks.

A. Evaluate the client for digitalis glycoside side effects B. Withhold the furosemide and force fluids C. Assume the client is joking and give the medications D. Give the client additional potassium-rich foods

Correct Answer is A

Explanation

Choice A reason: Digoxin toxicity can cause visual disturbances, like seeing yellow halos, due to its effect on retinal cone cells. The client’s comment about a yellow uniform suggests this side effect. Evaluating for toxicity, including checking serum digoxin levels, is critical, as toxicity can lead to life-threatening arrhythmias.

Choice B reason: Withholding furosemide and forcing fluids is inappropriate, as the client’s visual symptom points to digoxin toxicity, not furosemide-related issues. Furosemide causes diuresis, but no evidence suggests dehydration here. This choice does not address the likely digoxin-induced visual disturbance.

Choice C reason: Assuming the client is joking ignores a potential digoxin toxicity symptom. Visual changes, like yellow-tinted vision, are serious and require investigation, not dismissal. Administering medications without evaluation risks exacerbating toxicity, making this choice unsafe and incorrect.

Choice D reason: Additional potassium-rich foods are unnecessary, as the client is already receiving potassium chloride. The visual symptom suggests digoxin toxicity, not hypokalemia. Potassium levels may influence digoxin toxicity, but the priority is evaluating digoxin’s effects, not dietary intervention.

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The practical nurse (PN) notes that a home health client who is taking a fluoroquinolone to treat a respiratory infection is sitting on an uncovered, outdoor porch. Which action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is reinforcing information with a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which client statement should the PN recognize as requiring an additional review of the information?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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