Saunders

The nurse receives a call from a client concerned about eliminating brown-colored urine after taking nitrofurantoin for a urinary tract infection. The nurse should make which appropriate response? 1. "Continue taking the medication; the brown urine occurs and is not harmful." 2. "Take magnesium hydroxide with your medication to lighten the urine color." 3. "Discontinue taking the medication and make an appointment for a urine culture." 4. "Decrease your medication to half the dose, because your urine is too concentrated."

1. "Continue taking the medication; the brown urine occurs and is not harmful."

The nurse is teaching a client who is beginning antiviral therapy for influenza. Which statement by the client indicates an understanding of the instructions? 1. "I must take medication exactly as prescribed." 2. "Once I start the medication, I will no longer be contagious." 3. "I will not get any colds or infections while taking this medication." 4. "This medication has minimal side effects and I can return to normal activities."

1. "I must take the medication exactly as prescribed."

The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated for tuberculosis. Which instructions should the nurse include on the list? Select all that apply 1. Activities should be resumed gradually 2. Avoid contact with other individuals, except family members, for at least 6 months 3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated 4. Respiratory isolation is not necessary, because family members already have been exposed 5. Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags 6. When 1 sputum culture is negative, the client is no longer considered infectious and usually can return to former employment

1. Activities should be resumed gradually 3. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated 4. Respiratory isolation is not necessary, because family members already have been exposed 5. Cover the mouth and nose when coughing and sneezing and put used tissues in plastic bags

The community health nurse is conducting an education session with community members regarding the signs and symptoms associated with tuberculosis. The nurse informs the participants that tuberculosis is considered as a diagnosis if which signs and symptoms are present? Select all that apply 1. Dyspnea 2. Headache 3. Night sweats 4. A bloody, productive cough 5. A cough with the expectoration of mucoid sputum

1. Dyspnea 3. Night sweats 4. A bloody, productive cough 5. A cough with the expectoration of mucoid sputum

A client with a urinary tract infection is receiving ciprofloxacin by the intravenous route. The nurse appropriately administers the medication by performing which action? 1. Infusing slowly over 60 minutes 2. Infusing in a light-protective bag 3. Infusing only through a central line 4. Infusing rapidly as a direct IV push medications

1. Infusing slowly over 60 minutes

A client who is HIV positive has had a tuberculin skin test (TST). The nurse notes a 7-mm area of induration at the site of the skin test and interprets the result as which finding? 1. Positive 2. Negative 3. Inconclusive 4. Need for repeat testing

1. Positive

Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse should monitor for which side and adverse effects of rifabutin? Select all that apply 1. Signs of hepatitis 2. Flu-like syndrome 3. low neutrophil count 4. vitamin B deficiency 5. ocular pain or blurred vision 6. tingling and numbness of the fingers

1. signs of hepatitis 2. flu-like syndrome 3. low neutrophil count 5. ocular pain or blurred vision

A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg. During the admission assessment, the nurse expects to note which finding? 1. An inflammation of the epidermis only 2. A skin infection of the dermis and underlying hypodermis 3. An acute superficial infection of the dermis and lymphatics 4. An epidermal and lymphatic infection caused by Staphylococcus

2. A skin infection of the dermis and underlying hypodermis

The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction should be included in the list? 1. Advise the sunscreen is not needed 2. Drink 8 to 10 glasses of water per day 3. Decrease the dosage when symptoms are improving to prevent an allergic response 4. If the urine turns dark brown, call the PCP immediately

2. Drink 8 to 10 glasses of water per day

The nurse is preparing to give a bed bath to an immobilized client with tuberculosis. The nurse should wear which items when performing this care? 1. Surgical mask and gloves 2. Particulate respirator, gown, and gloves 3. Particulate respirator and protective eye wear 4. Surgical mask, gown, and protective eye wear

2. Particulate respiratory, gown, and gloves

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problems? 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation

2. Peripheral neuritis

A client is to begin a 6 month course of therapy with isoniazid. The nurse should plan to teach the client to take which action? 1. Use alcohol in small amounts only 2. Report yellow eyes or skin immediately 3. Increase intake of Swiss or aged cheese 4. Avoid vitamin supplements during therapy

2. Report yellow eyes or skin immediately

Phenazopyridine is prescribed for a client with a urinary tract infection. The nurse evaluates that the medication is effective based on which overvation? 1. Urine is clear amber 2. Urination is not painful 3. Urge incontinence is not present 4. A reddish-orange discoloration of the urine is present

2. Urination is not painful

A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication? 1. Should always be taken with food or antacids 2. Should be double-dosed if 1 dose is forgotten 3. Cause orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months.

3. Causes orange discoloration of sweat, tears, urine, and feces

A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which manifestation of the disorder? 1. Hematuria and pyuria 2. Dysuria and proteinuria 3. Hematuria and urgency 4. Dysuria and penile discharge

3. Hematuria and urgency

The nurse performs an admission assessment on a client with a diagnosis of tuberculosis. The nurse should check the results of which diagnostic test that will confirm this diagnosis? 1. Chest x-ray 2. Bronchoscopy 3. Sputum culture 4. Tuberculin skin test

3. Sputum culture

The nurse has conducted discharge teaching with a client diagnosed with tuberculosis who has been receiving medication for 2 weeks. The nurse determines that the client has understood the information if the client makes which statement? 1. "I need to continue medication therapy for 1 month." 2. "I can't shop at the mall for the next 6 months." 3. "I can return to work if a sputum culture comes back negative." 4. "I should not be contagious after 2 to 3 weeks of medication therapy."

4. "I should not be contagious after 2 to 3 weeks of medication therapy."

A client who has a cold is seen in the emergency department with an inability to void. Because the client has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned about the use of which medication? 1. Diuretics 2. Antibiotics 3. Antilipemics 4. Decongestants

4. Decongestants

A client with severe back pain and hematuria is found to have hydronephrosis due to urolithiasis. The nurse anticipates which treatment will be done to relieve the obstruction? Select all that apply. 1. Peritoneal dialysis 2. Analysis of the urinary stone 3. Intravenous orioid analgesics 4. Insertion of a nephrostomy tube 5. Placement of a ureteral stent with ureteroscopy

4. Insertion of a nephrostomy tube 5. Placement of a ureteral stent with ureteroscopy

Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse should instruct the client to report which symptom if it develops during the course of this medication therapy? 1. Nausea 2. Diarrhea 3. Headache 4. Sore throat

4. Sore throat

A client complains of fever, perineal pain, and urinary urgency, frequency and dysuria. To assess whether the client's problem is related to bacterial prostatitis, the nurse reviews the results of the prostate examination for which characteristic of this disorder? 1. Soft and swollen prostate gland 2. Swollen and boggy prostate gland 3. Tender and edematous prostate gland 4. Tender, indurated prostate gland that is warm to the touch

4. Tender, indurated prostate gland that is warm to the touch

Nitrofurantoin is prescribed for a client with a urinary tract infection. The client contacts the nurse and reports a cough, chills, fever, and difficulty breathing. The nurse should make which interpretation about the client's complaints? 1. The client may have contracted the flu. 2. The client is experiencing anaphylaxis. 3. The client is experiencing expected effects of the medication. 4. the client is experiencing a pulmonary reaction requiring cessation of the medication

4. The client is experiencing a pulmonary reaction requiring cessation of the medication

The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that they will immediately report which finding? 1. Impaired sense of hearing 2. Gastrointestinal side effects 3. orange-red discoloration of body secretions 4. difficulty in discriminating the color red from green

4. difficulty in discriminating the color red from green

What precautions are required for clients with TB when placed on respiratory isolation?

A mask for anyone entering the room Private room Client must wear mask if leaving room

What symptoms of pneumonia might the nurse expect to see in an older client?

Confusion Lethargy Anorexia Rapid respiratory rate

List four components of teaching for the client with TB?

Cough into tissues and dispose of immediately in special bags Long-term need for daily medication Good hand-washing technique Report symptoms of deterioration, such as blood in secretions

State four nursing interventions for assisting the client to cough productively.

Encourage deep breathing Increase fluid intake to 2L/day Use humidity to loosen secretions Suction airway to stimulate coughing

List four essential elements ofa teaching plan for clients with frequent UTIs.

Fluid intake 3L/day Good hand-washing Void every 2 to 3 hours during waking hours Take all prescribed medications Wear cotton undergarments

What causes septic shock?

Release of endotoxins by bacteria, which act on nerves in vascular spaces in the periphery, causing vascular pooling, reduced venous return, and decreased cardiac output and result in poor systemic perfusion

List four common symptoms of pneumonia the nurse might note on physical examination.

Tachypnea Fever with chills Productive cough Bronchial breath sounds