A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that
A) the drug usually causes cardiac arrhythmias.
B) the drug frequently causes seizure activity.
C) facial flushing may appear but will go away once therapy is concluded.
D) body fluids such as urine, saliva, tears, and sputum may become discolored.
D
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A 65-year-old client is diagnosed with congestive heart failure with edema due to fluid retention. Which of the following may cause retention of fluid in the body?
A) Elevated protein levels B) Increased venous pressure C) Elevated osmotic pressure D) Increased excretion of sodium
The nurse interviewing an adolescent suspects problem with self-concept. Which should the nurse recognize is a main contributing factor to a limited self-concept?
A. Inability to form lasting relationships. B. Feelings of worthlessness, anxiety, and/or depression. C. Decreased ability to form attachments with other people. D. Inability to maintain stable employment.
The nurse is preparing a teaching plan for an older client who is taking multiple medications. Which principles should the nurse keep in mind during the planning phase?
A. The client should have all prescriptions filled at the same pharmacy. B. The client should keep a list of all medications for easy accessibility. C. Older clients often take multiple drugs which is a common cause of medication errors. D. Polypharmacy is unique to older clients and is the most common cause of medication errors. E. The client should be aware of each prescribed medication, the dose, and possible side effects.
You are called to a residence for a ventilator-dependent child with respiratory distress. Upon your arrival, the child's mother tells you that the child was doing fine, but then suddenly began experiencing labored breathing. She further tells you that the child's home ventilator was recently replaced with a newer one. Assessment of the child reveals that she is in marked respiratory distress and has intercostal retractions. Your FIRST action should be to:
A) suction the child's tracheostomy tube to rule out secretions as the problem. B) assess the patency of the tracheostomy tube to determine if it is dislodged. C) remove the tracheostomy tube and replace it with a similar-sized ET tube. D) disconnect the child from the ventilator and begin bag-mask ventilations.