Nokea
Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?
- A. Calcium level
- B. Vitamin B6 level
- C. Uric acid level
- D. Amylase level
Correct Answer: C
Rationale: This medication can increase uric acid levels which can lead to gout. The patient's signs and symptoms are classic findings in a gout attack.
You may also like to solve these questions
Which nursing explanation identifies the primary rationale for administering aminophylline?
- A. Aminophylline relieves persistent coughing.
- B. Aminophylline reduces mucosal edema.
- C. Aminophylline dilates the bronchial airways.
- D. Aminophylline thins respiratory secretions.
Correct Answer: C
Rationale: Aminophylline is a bronchodilator that dilates bronchial airways, improving airflow in COPD clients.
The 56-year-old client diagnosed with tuberculosis (Tb) is being discharged. Which statement made by the client indicates an understanding of the discharge instructions?
- A. I will take my medication for the full three (3) weeks prescribed.
- B. I must stay on the medication for months if I am to get well.
- C. I can be around my friends because I have started taking antibiotics.
- D. I should get a Tb skin test every three (3) months to determine if I am well.
Correct Answer: B
Rationale: TB treatment requires months of antibiotics (B) for cure. Three weeks (A) is too short, antibiotics don’t eliminate transmission risk immediately (C), and skin tests (D) monitor exposure, not cure.
A patient is being discharged home on Doxycycline for treatment of pneumonia. Which statement by the patient indicates they understood your education material?
- A. I will wear sunscreen when outdoors.'
- B. I will avoid green leafy vegetables while taking this medication.'
- C. I will monitor my blood glucose regularly due to the side effects of hypoglycemia.'
- D. I will take this medication with a full glass of milk.'
Correct Answer: A
Rationale: Doxycycline causes photosensitivity, so wearing sunscreen is correct. Green leafy vegetables are relevant for warfarin, hypoglycemia is not a side effect, and milk can reduce doxycycline absorption.
After administering the first puff of medication, what client action demonstrates proper use of the inhaler?
- A. The client depresses the canister a second time before exhaling.
- B. The client holds his or her breath for up to 10 seconds before exhaling.
- C. The client cleans the mouthpiece with a clean paper tissue or cloth.
- D. The client bends from the waist to increase the exhaled volume.
Correct Answer: B
Rationale: Holding the breath for up to 10 seconds after inhaling allows the medication to deposit in the lungs effectively.
A 52-year old female patient is receiving medical treatment for a possible tuberculosis infection. The patient is a U.S. resident but grew-up in a foreign country. She reports that as a child she received the BCG vaccine (bacille Calmette-Guerin vaccine). Which physician's order below would require the nurse to ask the doctor for an order clarification?
- A. PPD (Mantoux test)
- B. Chest X-ray
- C. QuantiFERON-TB Gold (QFT)
- D. Sputum culture
Correct Answer: A
Rationale: Patients who have received the BCG vaccine will have a false positive on a PPD (Mantoux test), which is the tuberculin skin test. The BCG vaccine is a vaccine to prevent TB. It is given in foreign countries to children to prevent TB. Therefore, the person has already been exposed to the bacteria via vaccine and will have a false positive. A QuantiFERON-TB Gold test is a better option for this patient. It is a blood test.