Nokea
To prevent development of peripheral neuropathies associated with isoniazid administration, the nurse should teach the client to:
- A. Avoid excessive sun exposure.
- B. Follow a low-cholesterol diet.
- C. Obtain extra rest.
- D. Supplement the diet with pyridoxine (vitamin B6).
Correct Answer: D
Rationale: Isoniazid can deplete vitamin B6, leading to neuropathy; supplementation prevents this side effect.
You may also like to solve these questions
A client with type 2 diabetes is admitted with a blood glucose level of 450 mg/dL. The nurse should anticipate which of the following orders?
- A. Regular insulin IV
- B. Oral metformin
- C. Glucagon injection
- D. Potassium supplement
Correct Answer: A
Rationale: Hyperglycemia requires regular insulin IV to rapidly lower blood glucose. Metformin is oral and slower, glucagon raises glucose, and potassium is not indicated without further assessment.
A client who had undergone an abdominal hysterectomy is in the recovery room. The surgeon has ordered a 250-mL bolus of normal saline over 1 hour to replace blood loss. The I.V. solution infusing in the client was 1,000 mL normal saline with 40 mEq of potassium chloride at 100 mL/hour. The nurse should: Select all that apply.
- A. Increase the I.V. infusion rate to 250 mL/hour for 1 hour.
- B. Add 250 mL of normal saline to the current infusion bag and continue at 100 mL/hour.
- C. Connect a 250-mL bag of normal saline to the Y-connection and calculate to infuse over 1 hour.
- D. Contact the physician regarding continuation of the primary I.V. infusion during the bolus infusion.
- E. Administer the normal saline bolus via an I.V. infusion pump.
Correct Answer: C,E
Rationale: A separate 250-mL bag via Y-connection and infusion pump ensures accurate delivery of the bolus without altering the primary infusion.
The nurse makes a home visit to a primiparous client and her neonate at 1 week after a vaginal delivery. Which of the following findings should be reported to the physician?
- A. A scant amount of maternal lochia serosa.
- B. The presence of a neonatal tonic neck reflex.
- C. A nonpalpable maternal fundus.
- D. Neonatal central cyanosis.
Correct Answer: D
Rationale: Neonatal central cyanosis indicates possible respiratory or cardiac issues and requires immediate reporting. The other findings are normal at 1 week postpartum.
The nurse is conducting a counseling session with a client experiencing post traumatic stress disorder (PTSD) using a 2-way video telehealth system from the hospital to the client's home, which is 2 hours away from the nearest mental health facility. Which of the following are expected outcomes of using telehealth as a venue to provide health care to this client? Select all that apply. The client will:
- A. Save travel time from the house to the health care facility.
- B. Avoid reliving a traumatic event which might be precipitated by visiting a health care facility.
- C. Experience a shorter recovery time than being treated by being on-site at a health care facility.
- D. Receive health care for this mental health problem.
- E. Obtain group support from others with a similar health problem.
Correct Answer: A,B,D
Rationale: Telehealth reduces travel time, minimizes triggers associated with visiting facilities, and provides access to mental health care, but it does not inherently shorten recovery time or provide group support unless specifically designed.
The physician orders I.V. cefazolin (Kefzol) 1g for a client. In preparing to administer the Kefzol, the nurse notes that the client is allergic to penicillin. Based on this information, what is an appropriate action for the nurse to take?
- A. Continue to prepare to administer the Kefzol as ordered
- B. Notify the physician of the client's allergy to penicillin
- C. Administer the Kefzol, staying at the client's bedside during the infusion
- D. Call the pharmacist to verify that the Kefzol should be administered as ordered
Correct Answer: B
Rationale: Cefazolin, a cephalosporin, has a risk of cross-reactivity in penicillin-allergic clients, so the nurse should notify the physician to consider an alternative. Administering or verifying with the pharmacist without physician consultation is unsafe.