Pharm quiz 2

A nurse in a provider's office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client?

"Bring in a stool sample for testing." Abdominal cramping and bloody diarrhea can be caused by an overgrowth of the organism C. DIff.

A nurse is teaching a client who has active tuberculosis about his treatment regimen. The client asks why he must take four different medications? Which of the following responses should the nurse make?

"Four medications reduce the risk for adverse reactions."

A nurse is caring for a client who has tuberculosis and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication?

"I have noticed my urine is orange in color."

A nurse is reinforcing teaching to a client who has active tuberculosis. Which of the following client statements indicate understanding of the teaching? (Select all that apply.)

"I will wash my hands each time I cough." "I will wear a mask when I am in a public area."

A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-month-old infant during a well-baby visit. Which of the following statements by the parent indicates an understanding of the teaching?

"My baby will receive his third DTaP vaccine today." (Infant should receive his third diphtheria, tetanus, and pertussis immunization at 6 months of age.)

A nurse is providing teaching to a client who is scheduled to start taking hydrochlorithiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?

"This medication can cause a loss of potassium."

A nurse is caring for a client who has a new diagnosis of tuberculosis and has been placed on a multimedication regimen. Which of the following instructions should the nurse reinforce with the client related to the medication ethambutol (Myambutol)

"Watch for any changes in vision."

A nurse is preparing to administer a new prescription for isoniazid (INH) to a client who has tuberculosis. Which of the following is an appropriate statement by the nurse about this medication?

"You may notice tingling of your hands."

A nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS. Which of the following statements should the nurse include in the teaching?

"You should take antiretroviral medications on a routine schedule."

A nurse is reinforcing teaching a client who has tuberculosis. Which of the following statements should the nurse include when reinforcing the teaching?

"You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication."

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client?

-Azithromycin Azithromycin, a macrolide, is an acceptable alternative penicillin for patients who have bacterial infections and are allergic to penicillin.

A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following time should the nurse plan to obtain a blood sample to evaluate the gentamicin peak?

1 hour after administering the injection.

A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? Select all that apply.

1-Monitor blood potassium levels-possible adverse effect may be a decrease in K+ levels 2-Elevate the head of bed slowly before ambulation-Ortho-hypo 3- Recommend eating a banana daily-prevention of hypokalemia 4- Assess for Tinnitus-risk for ototoxicity

A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? Select all that apply

2) Cefotetan 3) Metronidazole

A nurse is teaching a client who has a new prescription for combination oral NRTIs (abacavir, lamivudine, andzidovudine) for treatment of HIV.Which of the following statements should the nurse include?

A. "These medications work by blocking HIV entry into cells."

A nurse is caring for a client who takes several antiretroviral medications, including the NRTI zidovudine, to treat HIV infection.The nurse should monitor for which of the following adverse effects of zidovudine? (Select all that apply.)

A. CORRECT: Fatigue is a manifestation of anemia, an adverse effect of zidovudine. Neutropenia can also occur, causing a high risk for infection. D. CORRECT: Hyperventilation is a finding that can occur if the client develops lactic acidosis, a serious adverse effect of zidovudine. E. CORRECT: Vomiting and other GI effects are adverse effects of zidovudine.

A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory infection.For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (Select all that apply.)

A. CORRECT: Pruritis- Paresthesias of the hands and feet, urticaria,rash, and pruritus are indications of a hypersensitivity reaction that can occur in clients taking gentamicin. B. CORRECT: Hematuria is an indication of acute kidney toxicity due to gentamicin. C. CORRECT: Muscle weakness and respiratory depression can occur in clients taking gentamicin as a result of neuromuscular blockade. E. CORRECT: Vertigo, ataxia, and hearing loss are indications of ototoxicity that can occur in clients taking gentamicin.

A nurse is reviewing a client's medication history and notes an allergy to sulfonamides. Which of the following medications are contraindicated due to this allergy? (select all that apply)

A. Hydorcholithiazide : A sulfonamide allergy is a contraindication for taking hydrochlorothiazide. Hypersensitivity, including Stevens‑Johnson syndrome, can result from taking hydrochlorothiazide and a sulfonamide concurrently. D. Glipizide: A sulfonamide allergy is a contraindication for taking some oral antidiabetes medications, including glipizide and glyburide. Hypersensitivity, including Stevens‑Johnson syndrome,can result from taking glipizide and a sulfonamide concurrently. E. Furosemide: A sulfonamide allergy is a contraindication for taking loop diuretics, such as furosemide. Hypersensitivity,including Stevens‑Johnson syndrome.

A nurse is assisting with the reinforcement of information to a group of clients at a clinic about tuberculosis. Which of the following clinical manifestations should be included in the information? (Select all that apply.)

A. Persistent cough C. Fatigue D. Night sweats E. Purulent sputum

A nurse is teaching a female client who has a severe UTI about ciprofloxacin. Which of the following information about adverse reactions should the nurse include? (Select all that apply.)

A.Observe for pain and swelling of the Achilles tendon: Pain and swelling of the Achilles tendon indicate an adverse effect of ciprofloxacin to report to the provider. B. Watch for a vaginal yeast infection: A vaginal yeast infection is an overgrowth of Candida albicans, which commonly occurs when taking ciprofloxacin. D. Inspect the mouth for cottage cheese like lesions: Cottage cheese‑like lesions in the mouthindicate an overgrowth of Candida albicans, a commonadverse effect when taking ciprofloxacin.

A nurse is teaching a client who has breast cancer about tamoxifen. Which of the following adverse effects of tamoxifen should the nurse discuss with the client?

Abnormal uterine bleeding Vaginal discharge and bleeding are adverse reactions of tamoxifen. The client is also at risk for endometrial cancer, so any abnormal uterine bleeding should be carefully monitored and evaluated.

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to infusion to prevent or minimize adverse reactions?

Acetaminophen Diphenhydrmine

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects?

Antiestrogenic

A nurse is caring for client who has multiple medication allergies. During which of the following steps of the nursing process should the nurse identify the clients's allergies?

Assessment

A nurse is teaching a client about taking tetracycline to treat a GI infection due to Helicobacter pylori. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

B. CORRECT: Diarrhea can indicate that the client is developing a suprainfection, which can be very serious.The client should notify the provider if diarrhea occurs.

A nurse is administering gentamicin by IV infusion at 0900. The medication will take 1 hr to infuse.When should the nurse plan to obtain a blood sample for a peak serum level of gentamicin?

B. CORRECT: The nurse should obtain the blood specimen for the peak serum level at 1030, 30 min after the end of theIV infusion. For the trough level, the nurse should collect the blood sample just before starting the infusion.

A nurse is planning to administer ciprofloxacin IV to a client who has cystitis. Which of the following actions should the nurse take?

B. Infuse the medication over 60 minutes: The nurse should administer ciprofloxacin IV over 60 min to minimize irritation of the vein.

A nurse is caring for a client who has a new prescription for enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the adverse reactions of this medication? Select all that apply.

B. Pneumonia: Bacterial pneumonia with fever, cough, and difficulty breathing are manifestations of an adverse reaction to enfuvirtide. The nurse should assess breath sounds regularly. D. Localized erythema: Enfuvirtide is administered subcutaneously. Injection‑site reactions, such as pain, redness, itching, and bruising, are common. E. Hypotension: A systemic allergic reaction can occur when taking enfuvirtide. Manifestations of hypersensitivity include rash, hypotension, fever, and chills.

A nurse is caring for a client who has a new prescription for acyclovir to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client?

BUN- Acyclovir, an antiviral drug, can cause renal toxicity due to drug accumulation in renal tubules.

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?

Bibasilar crackles-Mannitol adverse reaction

A health care professional is caring for a patient who is taking warfarin (Coumadin) and is about to begin taking trimethoprim/sulfamethoxazole (Bactrim) to treat a urinary tract infection. The health care professional should question the drug regimen because taking these two drugs concurrently can increase the patient's risk for which of the following?

Bleeding Trimethoprim/sulfamethoxazole, a sulfonamide combination, can increase the effects of warfarin and increase the patient's risk for bleeding.

A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider?

Blood potassium 5.2 mEq/L This lab value may indicate hyerkalemia. Because spironolactone causes potassium retention, withhold the medication and notify the provider.

A nurse is planning discharge teaching for a female client who has a new prescription for trimethoprim‑sulfamethoxazole. Which of the following information should the nurse include?

C. : Take it on an empty stomach -The nurse should inform the client that she may take the medication with or without food.

A nurse is administering IV acyclovir to a client who has varicella. Which of the following actions should the nurse take?

C. CORRECT: The nurse should administer IV acyclovir slowly, over at least 1 hr, to prevent nephrotoxicity.

A nurse in a provider's office receives a call from a client who is taking tetracycline orally to treat chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following?

C. Diff associated diarrhea.

A nurse in a provider's office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client?

Call emergency services immediately!!!! Amoxicillin can cause severe anaphylactic reaction.

When administering erthromycin to a patient who has cystic acne, a nurse should monitor for which of the following adverse reactions?

Cardiac dysrhythmias Erthromycin, a macrolide, can cause ECG changes, including a prolonged QT interval.

A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication?

Creatinine 2.6 mg/dl-report abnormal finding for ceftazadime

A health care professional is caring for a patient who is about to begin taking cephalexin (Keflex) to treat bacterial meningitis. The health care professional should explain to the patient the need to monitor which of the following laboratory tests?

Creatinine-Cephalexin, a first generation cephalosporin, is secreted by the kidneys. The health care professional should evaluate renal function prior to and during treatment with the drug.

A nurse is caring for a client who is taking ritonavir, a protease inhibitor, to treat HIV infection.The nurse should monitor for which of the following adverse effects of this medication?

D. CORRECT: Hyperlipidemia with increased cholesterol andtriglyceride levels can occur as an adverse effect of ritonavir.

18. A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long do RBC's last in my body? The correct response is.

D. The life span of RBC is 120 days.

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions?

Dehydration-Acyclovir, an antiviral drug, can cause renal toxicity, especially in clients who are dehydrated.

A nurse is preparing to administer ceftotaxime IV to a client who has been receiving ceftoaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider?

Diarrhea Diarrhea is an adverse effect of cefotaxime and other cephalosporins that requires reporting to the provider. May indicate antibiotic associated pseudomembranous colitis.

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug?

Dilated pupils- Oxybutynin can cause mydriasis or dilated pupils, dry eyes, and blurred vision. Clients who take the drug should use lubricating eye drops to help reduce dryness. Dizziness-can cause dizziness and drowsiness Distended bladder- can cause urinary retention and bladder distention. Fever- Can cause heat exhaustion and fever. Use with caution in hot weather.

A nurse is caring for a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider?

Dyspnea Dyspnea is a manifestation of heart failure, an adverse effect of mannitol. Stop the medication and notify the provider.

Tamoxifen -complications endometrial cancer

Endometrial cancer Nursing actions: monitor for abnormal bleeding Client Education: Have a yearly gynecological exam and Pap smear.

Which of the following drugs should a provider provide who has streptococcal pharyngitis and is allergic to penicillin?

Erthromycin Erthromycin, a macrolide, is an acceptable alternative to penicillin for patients who have bacterial infections and are allergic to penicillin. The drug is against most gram-positive bacteria, including streptococci, and some gram-negative bacteria.

Tamoxifen (therapeutic use)

Estrogen receptor blocker: Used to treat or prevent breast cancer

A nurse is reviewing a client's prescription prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs?

Ethacrynic acid- Gentamicin, an aminoglycoside, and ethacrynic acid, a loop diuretic, are ototoxic drugs. The nurse should identify that concurrent use increases the clients risk of hearing loss.

A health care professional is caring for a patient who is about to receive gentamicin to treat a systemic infection. The health care professional should question the use of the drug for a patient who is also taking which of the following drugs?

Furosemide (Lasix) Gentamicin, an aminoglycoside, and furosemide, a high-ceiling diuretic, are ototoxic drugs. Concurrent use multiplies the patient's risk for hearing loss.

A nurse is caring for a client who is receiving cefazolin IV. the nurse should identify that which of the following medications can potentiate nephrotoxicity if administered of administered concurrently?

Gentamicin-interaction with cefazolin IV

A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following conditions?

Glaucoma Oxybutynin is an anticolinergic and can increase intraocular pressure. It is contraindicated for clients who have glaucoma.

tamoxifen complications-Hot flashes

Hot flashes Nursing Action: Warn clients about adverse effects

A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching?

Hot flashes-adverse effect for tamoxifen

Hydroxurea complications-Bone marrow suppression

Hydroxurea complications-Bone marrow suppression Low WBC count or neutropenia, bleeding caused by thrombocytopenia or low platelet count, and anemia or low RBC's Can occur 4-6 weeks after infusion Nursing considerations: Monitor WBC absolute neutrophil count, platelet count, HGB, and HCT. Assess for bruising and bleeding gums Instruct client to avoid crowds and contact with infectious individuals Advise client to continue precautions after treatment is completed.

Hydroxyurea contraindications

Hydroxyurea contraindications: Pregnancy Severe myelo-suppression or anemia Use caution with those that have kidney disease

Hydroxurea-interactions

Hydrroxurea interactions: Cytotoxic medications can increase hydroxurea Nursing considerations: Use with caution together.

tamoxifen complications- Hypercalcemia bone pain

Hypercalcemia bone pain Nursing action: Monitor calcium level

Tamoxifen contraindications

Hypersensitivity to tamoxifen Concurrent warfarin therapy History of PE or DVT Pregnancy, breast-feeding

A nurse is administering HCTZ to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug?

Hyperuricemia- Hyperuricemia, or increased uric acid levels, along with gouty arthritis , can occur in clients who have a history of these conditions and are taking HCTZ

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?

Hypokalemia- Maifestations of hypokalemia include a thready, irregular pulse, orthostatic hypotension, anxiety, confusion, skeletal muscle weakness, hypoactive bowel sounds, polyuria, nausea, and vomiting.

Hydroxurea complications: GI discomfort Nausea and vomiting

Hyroxyurea- GI discomfort Nausea and vomiting Nursing considerations: Administer antiemetic such as ondansetron in combination with metoclopramide before starting chemotherapy.

A nurse is teaching about a new prescription for ciprofloxacin to an older adult who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching?

I will report any signs of tendon pain or swelling

Tamoxifen- client education

Increase calcium and vit D intake. Reduce bone loss with weight bearing exercises Prevent pregnancy during therapy

A clinic nurse is preparing to administer a Penicillin IM injection to a client who has never taken the medication before. What should be included in the plan of care?

Instruct the client to sit in the clinic for 30 minutes after the injection. (to ensure prompt treatment if anaphylaxis occurs)

A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to prevent possible resistance to rifampin?

Isoniazid- Isoniazid is used to treat tuberculosis and reduces the possibility of resistance to rifampin when combined with the drug.

A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug. Select all that apply

Jaundice Numbness of the hands Dizziness

Tamoxifen: nursing administration

Monitor for dysrhythmias and assess breath sounds Monitor CBS and calcium levels Monitor fluid status Monitor weekly weights ans report weight gain

tamoxifen complications-Nausea and vomiting

Nausea and vomiting Nursing action: Monitor fluid status Administer fluids and antiemetics as prescribed

What adverse effects is a concern with aminoglycosides (gentamicin)?

Otoxocity, Nephrotoxicity, Hypersensitivity, and intense neuromuscular blockade.

How should the nurse monitor trough and peak levels in a patient receiving aminoglycosides (gentamicin, streptomycin, neomycin)?

Peak: 30 minutes after administration of aminoglycosides IM or 30 minutes after completion of an IV infusion. Trough:Right before the next dose

Which drug inactivates aminoglycosides when mixed in the same IV?

Pencillin inactivates aminoglycosides when in the same IV solution.

A nurse is caring for a client who is taking spironolactone to treat hypertension. The nurse should recognize that which of the following client laboratory values requires immediate intervention?

Potassium 5.2 mEq/L

A patient who is taking tetracycline orally to treat a chlamydia infection contacts the health care professional to report severe blood-tinged diarrhea. Recognizing the adverse effects of tetracycline, the health care professional should suspect which of the following?

Pseudomembranous enterocolitis-Adverse reaction of tetracycline

A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new prescription for isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH?

Pyridoxine

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods to increase potassium intake?

Raisins-Potassium rich

A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take?

Request a change in the type of the antibiotic-Augmentin adverse reaction

A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra-abdominal baterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions?

Seizure disorder- Metronidazole, an antiparasitic drug, can cause ataxia, vertigo, and seizures. Caution with clients who have a seizure disorder

During administration of vancomycin (Vancocin) IV, the nurse notices the client's neck and face becoming flushed. What action should the nurse take first?

Slow the rate of infusion (Red man syndrome)

Tamoxifen interactions-SSRIs such as paroxetine

Some SSRI antidepressants such as paroxetine decrease the effectiveness of tamoxifen. Nursing Action: Avoid using together.

A nurse is administering cefotetan IV to treat bacterial meningitis. The nurse notes that the IV insertion site is warm, edematous and painful to the touch. Which of the following actions should the nurse take?

Stop the cefotetan infusion.

A nurse in a providers office receives a call from a client who is taking ciprofoxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client?

Take an antacid a least 2 hours before taking the drug. Ciprofloxacin, a fluoroquinolone cannot be given with antacids. Antacids decrease the absorption of the drug.

A nurse is providing information to a client who has a new prescription for HCTZ. Which of the following information should the nurse include?

Take the medication with food. The client should take HCTZ with or after meals to prevent GI upset.

Tamoxifen interactions-Warfarin

Tamoxifen can increase the anticoagulation action of warfarin Nursing actions: Monitor PT and INR Warfarin doses might need to be adjusted

A nurse is caring for a client who has a glomerular filtration rate of 10ml/min and a reduced urine output. The nurse should clarify a prescription for HCTZ for this client because of which of the following characteristics of this drug?

The drug does not promote diuresis for clients who have renal insufficiency.

A nurse is teaching the guardian of an infant about diphtheria, tetanus, and pertussis (DtaP) vaccine. Which of the following pieces of information should the nurse include in the teaching?

The first immunization for DTaP in the series is given at 2 months

A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV infection about ways to prevent medication resistance. Which of the following information should the nurse teach the client about resistance?

The nurse should emphasize the importance of taking each dose of medication exactly as prescribed. Missing even a few doses of antiretroviral medication can promote medication resistance, which can cause treatment failure.

A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?

Third-generation cephalosporins Specifically used to treat bacterial meningitis

tamoxifen complications-Thromboembolic events

Thromboembolic events DVT, PE, Stroke Nursing actions: assess breath sounds Client education:Report chest pain edema of the leg or calf, or shortness of breath.

A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?

Tinnitus-adverse reaction gentamicin

A nurse in a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. Which of the following disorders should the nurse expect the client to have?

Tuberculosis

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following?

Urine output-Gentamicin, an aminoglycoside can cause nephrotoxicity. The nurse should monitor the clients BUN and creatinine levels and for an increased output of diluted urine.

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?

Use a non-hormonal form of contraception. Rifampin, an antimycobacterial drug, can increase the metabolism of oral contraceptives, reducing their effectiveness. Clients who are taking oral contraceptives and rifampin should use additional, non-hormal contraceptive methods to prevent unwanted pregnancy.

A nurse is caring for a client whose sputum culture results indicate (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client?

Vancomycin-Potentially toxic drug used to treat serious infections that are resistant to penicillin such as MRSA

A nurse is preparing to administer a new prescription of amoxicillin/ clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first?

Withhold the medication-Augmentin action for allergy to penicillin.

A nurse is teaching a client who has TB about the adverse effects of isoniazide. The nurse should instruct the client to report to the provider which of the following findings as an adverse effect of the medication?

Yellow skin tones-adverse effect isoniazide

Hydroxurea-therapeutic uses

includes chronic myelogenous leukemia, ovarian, and squamous cell cancers

tamoxifen complications-vaginal discharge or bleeding

vaginal discharge or bleeding Nursing action: Monitor bleeding and discharge