A patient has been prescribed isoniazid (INH) and rifampin for the treatment of tuberculosis
The nurse should instruct the patient to report which physical changes associated with this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fever
2. Yellow tint to the skin
3. Discoloration of tears
4. Visual disturbances
5. Loss of appetite
2,4,5
Rationale 1: Fever is not an expected adverse effect of this therapy.
Rationale 2: Jaundice could indicate the patient is developing hepatitis, which is a possible adverse effect of this therapy.
Rationale 3: Discolored tears are an expected effect of rifampin. The nurse should advise the patient that this effect is possible, but reporting it is not necessary.
Rationale 4: Visual disturbance is an adverse effect of isoniazid and should be reported.
Rationale 5: Loss of appetite is an adverse effect of rifampin and should be reported.
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The nurse is caring for a patient who has been diagnosed with chronic pain. The nurse is especially concerned about the patient's self-concept because chronic pain does which of the following?
a. Normally has no effect on the ability to function once patients learn to deal with it b. Can often cause increased irritability that can affect self-concept c. Often leads to increased sleep as patients try to "escape" the pain d. Requires pain medication that prevents self-concept alterations
The principle of beneficence requires the nurse to:
a. promote harm or evil and do good. b. prevent or remove harm and do good. c. ask the patient to sign a survey indicating the nurse has been beneficial to his or her care. d. avoid harm as a consequence of doing good.
The nurse notes that an adolescent has crossed lower teeth. Why should the nurse recommend that the child see an orthodontist?
A) Leaving even slightly crooked teeth will lead to more cavities later in life B) Even slight malocclusions make chewing and jaw function less efficient C) The more common braces become, the more unacceptable crooked teeth are in society at large, affecting everything from dating possibilities to hiring D) Uncorrected malocclusions lead to infection and ultimately tooth loss
Based on the information A.P. has given you, you determine that she is at risk for other STIs
and unplanned pregnancy. What risk assessment questions do you need to ask A.P.? What will be an ideal response?