53.) Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium
complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of
the medication? Select all that apply.
1. Signs of hepatitis
2. Flu-like syndrome
3. Low neutrophil count
4. Vitamin B6 deficiency
5. Ocular pain or blurred vision
6. Tingling and numbness of the fingers
Give this one a try later!
1. Signs of hepatitis
2. Flu-like syndrome
3. Low neutrophil count
5. Ocular pain or blurred vision
Rationale:
Rifabutin (Mycobutin) may be prescribed for a client with active MAC disease
and tuberculosis. It inhibits mycobacterial DNA-dependent RNA polymerase
, and suppresses protein synthesis. Side effects include rash, gastrointestinal
disturbances, neutropenia (low neutrophil count), red-orange body
secretions, uveitis (blurred vision and eye pain), myositis, arthralgia, hepatitis,
chest pain with dyspnea, and flu-like syndrome. Vitamin B6 deficiency and
numbness and tingling in the extremities are associated with the use of
isoniazid (INH). Ethambutol (Myambutol) also causes peripheral neuritis.
104.) Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health
care clinic. The nurse is collecting data on the client and is providing instructions
regarding the use of this medication. Which is most important for the nurse to determine
before administration of this medication?
1. A history of hyperthyroidism
2. A history of diabetes insipidus
3. When the last full meal was consumed
4. When the last alcoholic drink was consumed
Give this one a try later!
4. When the last alcoholic drink was consumed
Rationale:
Disulfiram is used as an adjunct treatment for selected clients with chronic
alcoholism who want to remain in a state of enforced sobriety. Clients must
abstain from alcohol intake for at least 12 hours before the initial dose of the
medication is administered. The most important data are to determine when
the last alcoholic drink was consumed. The medication is used with caution in
clients with diabetes mellitus, hypothyroidism, epilepsy, cerebral damage,
nephritis, and hepatic disease. It is also contraindicated in severe heart
disease, psychosis, or hypersensitivity related to the medication.
46.) A postoperative client has received a dose of naloxone hydrochloride for
respiratory depression shortly after transfer to the nursing unit from the postanesthesia
,care unit. After administration of the medication, the nurse checks the client for:
1. Pupillary changes
2. Scattered lung wheezes
3. Sudden increase in pain
4. Sudden episodes of diarrhea
Give this one a try later!
3. Sudden increase in pain
Rationale:
Naloxone hydrochloride is an antidote to opioids and may also be given to
the postoperative client to treat respiratory depression. When given to the
postoperative client for respiratory depression, it may also reverse the effects
of analgesics. Therefore, the nurse must check the client for a sudden increase
in the level of pain experienced. Options 1, 2, and 4 are not associated with
this medication.
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors
the client, knowing that which of the following would indicate the presence of systemic
toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
Give this one a try later!
, 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity
(salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea, and
psychological disturbances. Constipation and diarrhea are not associated with
salicylism.
222.) A nurse has administered a dose of diazepam (Valium) to a client. The nurse would
take which important action before leaving the client's room?
1. Giving the client a bedpan
2. Drawing the shades or blinds closed
3. Turning down the volume on the television
4. Per agency policy, putting up the side rails on the bed
Give this one a try later!
4. Per agency policy, putting up the side rails on the bed
Rationale:
Diazepam is a sedative-hypnotic with anticonvulsant and skeletal muscle
relaxant properties. The nurse should institute safety measures before leaving
the client's room to ensure that the client does not injure herself or himself. The
most frequent side effects of this medication are dizziness, drowsiness, and
lethargy. For this reason, the nurse puts the side rails up on the bed before
leaving the room to prevent falls. Options 1, 2, and 3 may be helpful measures
that provide a comfortable, restful environment, but option 4 is the one that
provides for the client's safety needs.
132.) The client with non-Hodgkin's lymphoma is receiving daunorubicin (DaunoXome).
Which of the following would indicate to the nurse that the client is experiencing a toxic
effect related to the medication?
1. Fever
complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of
the medication? Select all that apply.
1. Signs of hepatitis
2. Flu-like syndrome
3. Low neutrophil count
4. Vitamin B6 deficiency
5. Ocular pain or blurred vision
6. Tingling and numbness of the fingers
Give this one a try later!
1. Signs of hepatitis
2. Flu-like syndrome
3. Low neutrophil count
5. Ocular pain or blurred vision
Rationale:
Rifabutin (Mycobutin) may be prescribed for a client with active MAC disease
and tuberculosis. It inhibits mycobacterial DNA-dependent RNA polymerase
, and suppresses protein synthesis. Side effects include rash, gastrointestinal
disturbances, neutropenia (low neutrophil count), red-orange body
secretions, uveitis (blurred vision and eye pain), myositis, arthralgia, hepatitis,
chest pain with dyspnea, and flu-like syndrome. Vitamin B6 deficiency and
numbness and tingling in the extremities are associated with the use of
isoniazid (INH). Ethambutol (Myambutol) also causes peripheral neuritis.
104.) Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health
care clinic. The nurse is collecting data on the client and is providing instructions
regarding the use of this medication. Which is most important for the nurse to determine
before administration of this medication?
1. A history of hyperthyroidism
2. A history of diabetes insipidus
3. When the last full meal was consumed
4. When the last alcoholic drink was consumed
Give this one a try later!
4. When the last alcoholic drink was consumed
Rationale:
Disulfiram is used as an adjunct treatment for selected clients with chronic
alcoholism who want to remain in a state of enforced sobriety. Clients must
abstain from alcohol intake for at least 12 hours before the initial dose of the
medication is administered. The most important data are to determine when
the last alcoholic drink was consumed. The medication is used with caution in
clients with diabetes mellitus, hypothyroidism, epilepsy, cerebral damage,
nephritis, and hepatic disease. It is also contraindicated in severe heart
disease, psychosis, or hypersensitivity related to the medication.
46.) A postoperative client has received a dose of naloxone hydrochloride for
respiratory depression shortly after transfer to the nursing unit from the postanesthesia
,care unit. After administration of the medication, the nurse checks the client for:
1. Pupillary changes
2. Scattered lung wheezes
3. Sudden increase in pain
4. Sudden episodes of diarrhea
Give this one a try later!
3. Sudden increase in pain
Rationale:
Naloxone hydrochloride is an antidote to opioids and may also be given to
the postoperative client to treat respiratory depression. When given to the
postoperative client for respiratory depression, it may also reverse the effects
of analgesics. Therefore, the nurse must check the client for a sudden increase
in the level of pain experienced. Options 1, 2, and 4 are not associated with
this medication.
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors
the client, knowing that which of the following would indicate the presence of systemic
toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
Give this one a try later!
, 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity
(salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea, and
psychological disturbances. Constipation and diarrhea are not associated with
salicylism.
222.) A nurse has administered a dose of diazepam (Valium) to a client. The nurse would
take which important action before leaving the client's room?
1. Giving the client a bedpan
2. Drawing the shades or blinds closed
3. Turning down the volume on the television
4. Per agency policy, putting up the side rails on the bed
Give this one a try later!
4. Per agency policy, putting up the side rails on the bed
Rationale:
Diazepam is a sedative-hypnotic with anticonvulsant and skeletal muscle
relaxant properties. The nurse should institute safety measures before leaving
the client's room to ensure that the client does not injure herself or himself. The
most frequent side effects of this medication are dizziness, drowsiness, and
lethargy. For this reason, the nurse puts the side rails up on the bed before
leaving the room to prevent falls. Options 1, 2, and 3 may be helpful measures
that provide a comfortable, restful environment, but option 4 is the one that
provides for the client's safety needs.
132.) The client with non-Hodgkin's lymphoma is receiving daunorubicin (DaunoXome).
Which of the following would indicate to the nurse that the client is experiencing a toxic
effect related to the medication?
1. Fever
