The client with active tuberculosis has started therapy with isoniazid and rifampin. He reports that his urine now has an orange color. What is the nurse's best action?
A. Document the report as the only action.
B. Obtain a specimen for culture.
C. Test the urine for occult blood.
D. Notify the physician.
A
Rifampin normally turns urine orange color. No action is needed.
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A nurse cares for a client who is prescribed 4 mg of calcium gluconate to infuse over 5 hours. The pharmacy provides 2 premixed infusion bags with 2 mg of calcium gluconate in 100 mL of D5W. At what rate should the nurse administer this medication?
(Record your answer using a whole number.) ____ mL/hr
When the nurse begins the assessment interview with a client, aged 62 years, she notes that the client
gives answers to questions that seem somewhat vague or slightly unrelated to the question. The client also leans forward and frowns as she listens intently to the nurse. An appropriate question for the nurse to ask would be a. "I notice you frowning. Are you feeling annoyed with me?" b. "Are you able to hear clearly when I speak in this tone of voice?" c. "How can I make this interview a bit easier for you?" d. "You seem to be having some trouble focusing on what I'm saying. Is something distracting you?"
A hospitalized patient complains of acute chest pain. The nurse administers a 0.3-mg sublingual nitroglycerin tablet, but the patient continues to complain of pain. Vital signs remain stable. What is the nurse's next step?
a. Apply a nitroglycerin transdermal patch. b. Continue dosing at 10-minute intervals. c. Give a second dose of nitroglycerin in 5 minutes. d. Request an order for intravenous nitrog-lycerin.
An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?
a. Investigate cultural differences in patients' responses to psychotropic medications. b. Contact the clinical nurse specialist for guidelines regarding cultural competence. c. Examine the literature on various health beliefs of members of diverse cultures. d. Complete an online continuing education offering about psychopharmacology.