A patient with active tuberculosis who has been taking isoniazid (INH, Nydrazid) and rifampin (RIF, Rifadin) reports having urine that is an orange color. What is the nurse's best action?
a. Obtain a specimen for culture and test the urine for occult blood.
b. Reassure the patient that this is a normal drug side effect.
c. Hold the dose and contact the prescriber.
d. Document the report as the only action.
B
Rifampin normally turns urine an orange color. No intervention is needed; however, the color change can be very distressing to patients. The patient should be reassured that this color change is normal and be taught how to manage this change so that clothing does not become stained.
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A 43-year-old male patient complains of right-sided abdominal and pain in the back in the right costovertebral angle region, fever, chills, dysuria, and nausea
On physical examination, there is 102 degree fever, tachycardia, and right costovertebral angle tenderness to percussion. The most likely condition is: A. Lower urinary tract infection B. Pyelonephritis C. Nephrolithiasis D. Hydronephrosis
The patient is hospitalized with cryptococcal pneumonia and AIDS. The nurse knows that the Standard Precautions for this patient will include the most important precaution. Which of the following is correct?
1. Hands are washed before and after gloving. 2. Once gloves are put on, they do not need to be changed until care is finished. 3. Needles and sharps should be placed in puncture-resistant containers on the med-icine cart out of the room. 4. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a "No Code."
A client underwent the first stage of a restorative proctocolectomy with ileo-anal anastomosis (RPC-IPAA). What topic is a high priority for the nurse to teach?
a. Perineal care b. Ostomy care c. Nutrition therapy d. Relaxation techniques
A patient reports frequent sleep disturbances. Which preparations could be considered to help improve the patient's sleep pattern? Select all that apply
a. Yohimbine b. Vitamin C c. Melatonin d. Valerian e. SAM-e