The nurse is caring for a patient with Crohn's disease. The patient has been taking metronidazole (Flagyl) for 6 months. The patient begins to complain of numbness and tingling in the extremities. The nurse should suspect
a. myopathy.
b. peripheral neuropathy.
c. myalgia.
d. extrapyramidal symptoms.
ANS: B
The patient's symptoms correlate with peripheral neuropathy, which is a risk of long-term treatment with metronidazole.
These symptoms do not correlate with peripheral neuropathy. In addition, myopathy, myalgia, and extrapyramidal symptoms are not side effects of metronidazole.
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The nurse in the rheumatology clinic is assessing clients with rheumatoid arthritis (RA). Which client should the nurse see first?
a. Client taking celecoxib (Celebrex) and ranitidine (Zantac) b. Client taking etanercept (Enbrel) with a red injection site c. Client with a blood glucose of 190 mg/dL who is taking steroids d. Client with a fever and cough who is taking tofacitinib (Xeljanz)
While ambulating, a patient gasps and drops to the floor unconscious with no pulse or respiration. When is the nurse aware that brain cells begin to die?
a. 1 minute b. 2 minutes c. 3 minutes d. 4 minutes
The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention?
A) Arranging for a physical therapy session B) Teaching parents to administer albuterol C) Reminding parent to give a full course of antibiotics D) Giving a DTaP vaccination at the proper interval
The nurse is preparing a 25-year-old male client for a resting electroencephalogram (EEG). Which of the following accurately describes a nursing consideration for this client?
A) Explain that the test delivers a mild electrical shock. B) Tell the client that he should keep his eyes open throughout the test. C) Tell the client that he will be asked to watch a pattern on a TV monitor. D) Tell the client not to sleep the night before the EEG.