Question

the nurse is caring for a client on a medical - surgical unit.
exhibit 1 exhibit 2 exhibit 3 exhibit 4 exhibit 5
provider prescriptions
day 1, 0930:
initiate airborne precautions
administer ppd test
sputum culture every morning for 3 days for mycobacterium tuberculosis
oxygen 2 l/min via nasal cannula for oxygen saturation less than 95%.
acetaminophen 650 mg po every 4 to 6 hr as needed for temperature greater than 38.9°c (102°f)
day 3, 1300:
isoniazid 300 mg by mouth once daily
rifampin 600 mg by mouth once daily
select 2 adverse effects that the nurse should plan to include when educating the client about their newly prescribed medications.
□ elevated liver enzymes
□ red - orange color to the urine
□ hypoglycemia
□ ototoxicity
□ hypertension

Explanation:

The newly prescribed medications are Isoniazid and Rifampin, used to treat tuberculosis.

1. Isoniazid is known to cause elevated liver enzymes as a common adverse effect.
2. Rifampin characteristically causes a red-orange discoloration of bodily fluids like urine.

The other options are not typical adverse effects of these two medications.

Answer:

• Elevated liver enzymes
• Red-orange color to the urine