Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
Client reports, ÔÇ£I have a coughÔÇØHistory of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports ÔÇ£blood-tinged sputumÔÇØ. Client also reports, ÔÇ£I used to weigh 167 pounds. Now I weigh 162 pounds.ÔÇØ Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.
Family history: Child has asthma. All other family members healthy.
Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks
The nurse is administering medications to the client and is monitoring potential adverse effects of medications
The nurse is administering medications to the client and is monitoring potential adverse effects of medications. For each body system below, click to specify the assessment findings that could indicate a serious adverse reaction.
Correct answer
A,B,D,F,G
Rationale
Yellowing of the eyes: Indicates hepatotoxicity from isoniazid or rifampin. Blurred vision: Ethambutol can cause optic neuritis. Abdominal pain: Hepatotoxicity or gastric irritation from TB drugs. Increased bruising and bleeding tendencies: Rifampin may cause thrombocytopenia.