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A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
- A. The medication causes amenorrhea if taken along with an oral contraceptive.
- B. You should wear glasses instead of contacts while taking this medication.
- C. A yellow tint to the skin is an expected reaction to the medication.
- D. Lifelong treatment with this medication is necessary.
Correct Answer: B
Rationale: Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. Therefore, it is recommended to wear glasses instead of contacts while taking this medication.
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A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?
- A. My tongue is red and beefy.
- B. I am constipated.
- C. My vision seems yellow.
- D. I am gaining weight.
Correct Answer: C
Rationale: Yellow vision (xanthopsia) is a classic symptom of digoxin toxicity, caused by its effects on the optic nerve.
A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?
- A. COPD.
- B. Anemia.
- C. Diabetes mellitus.
- D. Osteoporosis.
Correct Answer: C
Rationale: Diabetes mellitus increases UTI risk due to high blood sugar levels promoting bacterial growth and impaired immune function.
A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?
- A. Drink 16 oz of cranberry juice each day.
- B. Use an over-the-counter douche product after intercourse.
- C. Wait to void until the bladder feels full.
- D. Wear underwear made from nylon.
Correct Answer: A
Rationale: Drinking 16 oz of cranberry juice daily helps prevent UTIs by inhibiting bacterial adhesion to the urinary tract lining.
A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose of this test?" Which of the following responses should the nurse give?
- A. This test will inform your provider if you are anemic.
- B. This test will inform your provider if you have an infection.
- C. This test will inform your provider how your kidneys are functioning.
- D. This test will inform your provider if you have a thyroid disorder.
Correct Answer: C
Rationale: A serum creatinine test measures the level of creatinine in the blood, which is an indicator of kidney function. Elevated creatinine levels can indicate impaired kidney function or kidney disease.
A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?
- A. Urine specific gravity 1.020.
- B. Microscopic hematuria.
- C. Amber yellow urine color.
- D. Absence of glucose in the urine.
Correct Answer: B
Rationale: Microscopic hematuria indicates red blood cells in the urine, suggesting possible urinary tract infection or other pathology requiring further evaluation.