A patient who is taking nitrofurantoin calls the nurse to report several side effects. Which side effect of this drug causes the most concern and would require discontinuation of the medication?
a. Anorexia, nausea, and vomiting
b. Brown-colored urine
c. Drowsiness
d. Tingling of the fingers
ANS: D
Tingling of the fingers can indicate peripheral neuropathy, which can be an irreversible side effect of nitrofurantoin. The other side effects are not serious and can be reversed.
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The informatics nurse is reviewing how ethnographic studies have been incorporated within healthcare settings to glean data at the point of care. On which statement about ethnography should the nurse focus?
A) Ethnography is a quantitative method from anthropology and sociology that includes fieldwork and analysis of people in cultural, social settings. B) In ethnography, researchers describe the person-of-interest's point of view focusing on experience and interactions in social settings rather than the actions themselves. C) Ethnography is an outdated method of inquiry. D) The use of ethnography is criticized as a method to determine HCI effectiveness.
Identify the action by the nurse that is most appropriate when caring for a client hospitalized with chronic schizophrenia who has been taking clozapine (Clozaril) for the past 2 weeks
a. Limit the client's fluid intake to 500 mL per day. b. Check the client's white blood cell count and differential every week. c. Obtain a serum cholesterol every month. d. Make sure the client spends at least 30 minutes outside in the sun each day.
Which of the following is the primary focus of public health nursing?
a. Families and groups b. Illness-oriented care c. Individuals within the family unit d. Promotion of quality of life
Which form of health care is of primary importance when dealing with managed care?
1. Health promotion 2. Disease prevention 3. Tertiary treatment 4. Secondary treatment