Nokea
A patient taking Isoniazid (INH) should be monitored for what deficiency?
- A. Vitamin C
- B. Calcium
- C. Vitamin B6
- D. Potassium
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Patients are often given B6 supplements and monitored for this deficiency.
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Which nursing intervention is most important in response to the client's physical symptoms at this time?
- A. Administering oxygen by face mask
- B. Assessing the client's capillary refill
- C. Having the client rate the pain on a pain scale
- D. Requesting a physician's order for cardiac enzymes
Correct Answer: A
Rationale: Administering oxygen addresses hypoxia, a critical concern in pulmonary embolism due to impaired gas exchange.
When the client asks why the physician prescribed this particular cough medicine, the nurse correctly responds that the guaifenesin liquefies mucus while the codeine is responsible for which action?
- A. Relieving discomfort
- B. Dilating the bronchi
- C. Suppressing coughing
- D. Reducing inflammation
Correct Answer: C
Rationale: Codeine in cough syrup acts as an antitussive, suppressing the cough reflex to reduce coughing episodes.
The alert and oriented client is diagnosed with a spontaneous pneumothorax, and the healthcare provider is preparing to insert a left-sided chest tube. Which intervention should the nurse implement first?
- A. Gather the needed supplies for the procedure.
- B. Obtain a signed informed consent form.
- C. Assist the client into a side-lying position.
- D. Discuss the procedure with the client.
Correct Answer: B
Rationale: Informed consent (B) is required before invasive procedures, a priority. Gathering supplies (A), positioning (C), and discussion (D) follow.
You note your patient's sweat and urine is orange. You reassure the patient and educate him that which medication below is causing this finding?
- A. Ethambutol
- B. Streptomycin
- C. Isoniazid
- D. Rifampin
Correct Answer: D
Rationale: This medication will cause body fluids to turn orange.
Your patient with asthma is taking Theophylline. Which product below should the patient avoid consuming?
- A. Caffeine
- B. Dairy
- C. Wheat
- D. Shellfish
Correct Answer: A
Rationale: Caffeine can increase theophylline levels, leading to toxicity, as both are xanthine derivatives.