A patient admitted to the unit for treatment of leprosy has been prescribed clofazimine (Lamprene). Which clinical finding would most concern the nurse?
a. Reddish tint to the urine and feces
b. Sluggish, hypoactive bowel sounds
c. Hair loss
d. Nausea and abdominal cramps
B
The nurse would be most concerned about sluggish bowel sounds, which may indicate the de-velopment of intestinal obstruction, a condition for which the nurse should monitor the patient. Intestinal obstruction results from the deposition of clofazimine in the small intestine and may also produce pain and bleeding.
The medication does not give a reddish tint to the feces, urine, sweat, or tears.
Hair loss is not an expected finding.
GI symptoms (nausea, vomiting, cramping, and diarrhea) are common.
You might also like to view...
Which of the following statements regarding Guillain-Barré syndrome supports the admission to a critical care unit?
a. The demyelination process of the peripheral nerves is irreversible. b. The demyelination process is limited to the peripheral nervous system only. c. The paralysis associated with the syndrome occurs in a descending pattern. d. The most common cause of death is from respiratory arrest.
Which factor is a major disadvantage of the transdermal drug delivery route?
a. Only a prescriber can administer drugs by the transdermal route. b. Transdermal drugs must be sterile rather than clean. c. First pass drug loss by this route is the most extensive. d. Drug absorption is dependent on adequate circulation.
A nurse is caring for an adult patient who has had a minor motor vehicle accident. The health history reveals that the patient is currently in the process of obtaining a divorce. Which of the following actions should the nurse take?
(Select all that apply.) a. Agree upon and make time for the patient to talk. b. Use active listening skills and therapeutic touch as appropriate. c. Teach stress reduction strategies. d. Inform patient that stressed individuals are more likely to have accidents. e. Agree to witness telephone conversations with separated husband. f. Refer the patient to the nurse's church marriage counselor.
The nurse is part of a multidisciplinary team for a 10-year-old girl who has a history of self-mutilation. As the team members develop a behavior plan of care, the nurse should prioritize what action?
A) Encourage the girl to get involved in extracurricular activities to distract herself from self-destructive urges. B) Take a nursing history to confirm a diagnosis of borderline personality disorder. C) Review her academic record to document that she qualifies for extra assistance. D) Outline a behavior contract with the girl delineating the consequences of self-destructive behavior.