Nokea
The home health nurse is caring for the patient with tuberculosis who is taking rifampin and isoniazid (INH). The nurse should carefully monitor the patient for which potential side effect?
- A. Gallstones
- B. Liver disorders
- C. Bleeding ulcers
- D. Esophagitis
Correct Answer: B
Rationale: The correct answer is B: Liver disorders. Rifampin and isoniazid are known to potentially cause hepatotoxicity. The nurse should monitor for signs of liver dysfunction such as jaundice, dark urine, abdominal pain, and elevated liver enzymes. Gallstones (A) are not commonly associated with these medications. Bleeding ulcers (C) are not a common side effect of rifampin and isoniazid. Esophagitis (D) is more commonly associated with other medications like bisphosphonates.
You may also like to solve these questions
The nurse should teach the patient with chronic constipation that which food has the highest dietary fiber?
- A. Peach
- B. Popcorn
- C. Dried beans
- D. Shredded wheat
Correct Answer: C
Rationale: The correct answer is C, dried beans. Dried beans have one of the highest dietary fiber contents among all the options provided. Fiber helps promote regular bowel movements and prevent constipation. Dried beans are also a good source of nutrients and low in fat. Peaches (A) have fiber but not as high as dried beans. Popcorn (B) has some fiber, but it is lower compared to dried beans. Shredded wheat (D) is a good source of fiber, but dried beans have a higher fiber content.
If you place a pin through the greater omentum, through how many layers of simple squamous epithelium would the pin pass?
- B. 1
- C. 2
- D. 3
Correct Answer: C
Rationale: The correct answer is C (2 layers). The greater omentum consists of a double layer of peritoneum, which is a serous membrane composed of simple squamous epithelium. Therefore, when a pin is placed through the greater omentum, it would pass through two layers of simple squamous epithelium. Choice A (0) is incorrect because there are indeed layers of epithelium in the greater omentum. Choice B (1) is incorrect because there are two layers of epithelium. Choice D (3) is incorrect as there are only two layers to pass through.
The nurse is assessing a patient who had an abdominal hysterectomy. Which of the following signs of infection should the nurse be most concerned about?
- A. Redness around the incision site
- B. A temperature of 99°F
- C. Complaints of mild abdominal cramping
- D. Purulent drainage from the incision site
Correct Answer: D
Rationale: The correct answer is D: Purulent drainage from the incision site. Purulent drainage indicates an active infection, requiring immediate attention and intervention to prevent serious complications. Redness and a low-grade fever can be common in the early stages of healing and may not necessarily indicate infection. Complaints of mild cramping are also common post-surgery and may not specifically point to infection. Purulent drainage is a more specific and concerning sign of infection as it indicates the presence of pus and bacteria at the incision site, requiring prompt medical evaluation and treatment to prevent further complications.
The patient has hepatic encephalopathy. What is a priority nursing intervention to keep the patient safe?
- A. Turn the patient every 3 hours.
- B. Encourage increasing ambulation.
- C. Assist the patient to the bathroom.
- D. Prevent constipation to reduce ammonia production.
Correct Answer: D
Rationale: The correct answer is D: Prevent constipation to reduce ammonia production. In hepatic encephalopathy, the liver is unable to metabolize ammonia, leading to its accumulation and brain dysfunction. Preventing constipation helps reduce the production of ammonia by promoting regular bowel movements. This is crucial in managing hepatic encephalopathy to prevent worsening of symptoms and improve patient safety.
A: Turning the patient every 3 hours is important for preventing pressure ulcers but is not directly related to managing hepatic encephalopathy.
B: Encouraging increasing ambulation may be beneficial for overall patient health but does not directly address the priority of reducing ammonia production in hepatic encephalopathy.
C: Assisting the patient to the bathroom is important for maintaining hygiene and comfort but does not address the underlying issue of reducing ammonia production in hepatic encephalopathy.
The falciform ligament separates the right from _____ lobe.
- A. quadrate
- B. left
- C. caudate
- D. pancreatic
Correct Answer: B
Rationale: The falciform ligament separates the right and left lobes of the liver. This is because it attaches the liver to the anterior abdominal wall and suspends it from the diaphragm, dividing the liver into right and left lobes. The quadrate, caudate, and pancreatic lobes are not separated by the falciform ligament, making choices A, C, and D incorrect, respectively.