The nurse is caring for a patient taking trovafloxacin (Trovan) for an infection. The nurse understands that the greatest concern with using trovafloxacin and alatrofloxacin is the develop-ment of

a. hepatotoxicity.
b. weight loss.
c. visual disturbances.
d. anemia.


A
Hepatotoxicity is the greatest concern. Trovafloxacin and alatrofloxacin can cause liver enzyme abnormalities, symptomatic hepatitis, and acute hepatic necrosis.
Weight loss, visual disturbances, and anemia are not associated with trovafloxacin and alatrof-loxacin.

Nursing

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The nurse is teaching a health class to high-school boys. When discussing the topic of using smokeless tobacco (SLT), which of these statements are accurate? Select all that apply

a. One pinch of SLT in the mouth for 30 minutes delivers the equivalent of one cigarette. b. Using SLT has been associated with a greater risk of oral cancer than smoking. c. Pain is an early sign of oral cancer. d. Pain is rarely an early sign of oral cancer. e. Tooth decay is another risk of SLT because of the use of sugar as a sweetener. f. SLT is considered a healthy alternative to smoking.

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A cardiovascular patient with a previous history of pulmonary embolism (PE) is experiencing a sudden onset of dyspnea, rapid breathing, and chest pain

The nurse recognizes the characteristic signs and symptoms of a PE. What is the nurse's best action? A) Rapidly assess the patient's cardiopulmonary status. B) Arrange for an ECG. C) Increase the height of the patient's bed. D) Manage the patient's anxiety.

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A patient has a diagnosis of multiple myeloma and the nurse is preparing health education in preparation for discharge from the hospital. What action should the nurse promote?

A) Daily performance of weight-bearing exercise to prevent muscle atrophy B) Close monitoring of urine output and kidney function C) Daily administration of warfarin (Coumadin) as ordered D) Safe use of supplementary oxygen in the home setting

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Which of the following statements accurately represents a characteristic of the third or fourth heart sound?

A) S3 is considered normal in children and young adults and abnormal in middle-aged and older adults. B) S3 is best heard with the stethoscope bell at the mitral area, with the patient lying on the right side. C) S4 is the fourth heart sound, represented by "lub-dub-dee." D) S4 is considered normal in children and adults, but abnormal in older adults.

Nursing