A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect which of the following manifestations while taking this medication?

A client is undergoing brachytherapy for a tumor in the neck. Which nursing precaution is most important when providing care for this client?

The client is a 63-year-old female who arrived via emergency services with right-sided weakness, right facial droop, and slurred speech.  History and Physical History: Diabetes mellitus type II, hypertension, and rheumatoid arthritis. Spouse is answering questions for her at the bedside. Per spouse, the client has experienced recent increased stress and does not monitor her blood pressure. The client was in her usual health the night prior. She woke up around 0500 and having a typical morning until approximately 0630 when she noticed that she wasn’t able to hold her brush with her right hand. Spouse states he noticed that her face was also drooping at that time and called 911. Nurses Note: 07/05/20XX 0712: Client arrived and stroke alert initiated. Client is alert and oriented x 3 with slurred speech and aphasia. Client unable to lift or maintain gravity in right arm and right leg. Drooping to the right side of the face noted. Healthcare provider at bedside.    Nurses Note 7/5/20XX 0745:  The client is able to speak a few words and states that she has a history of atrial fibrillation and her gallbladder removed 4 months ago. The client begins to moan, hold her head, and complains of extreme pain in the back of her head. The lab has called with the stat laboratory results:   Lab Result Reference Range White blood cell 6.4 4.5-11 per microliter Hemoglobin 13.3 12-16 g/dL Hematocrit 39 38-46% Platelet 180,000 150,000-45000/microliter PT 11 11-13.5 seconds INR 1.1 0.8-1.2      Vitals 07/05/20XX 0712:   Temp: 98.6*F Pulse: 99 Respirations: 22 Blood Pressure: 180/118 O2 Saturation: 98% on Room Air 07/05/20XX 0810 – Client to radiology for CT without contrast. CT results: no evidence of hemorrhage.   07/05/20XX 0820: Client returns from Radiology and placed on bedside telemetry monitoring. Client remains in Atrial fibrillation. Healthcare provider at the bedside and orders to lower the blood pressure before administering thrombolytic to reduce the risk of hemorrhage. 07/05/XX 0830 – Client resting quietly. Right side remains weak, unable to maintain gravity in right arm and right leg, speech is slurred with some word finding difficulty. Client is frustrated and tearful. Remains in A-fib on the monitor with a rate of 90. Healthcare provider orders to administer thrombolytic – Tenecteplase 20 mg IV. Vitals: Temp: 98.6*F Pulse 90 Respirations: 20 Blood Pressure: 141/89 Oxygen Saturation: 98% on Room Air.  07/05/XX 0910 – Client is now able to maintain gravity in all extremities, slurred speech continues with dysarthria noted.  Client denies pain or discomfort, lungs are clear with no shortness of breath, has urinated with assistance on bedpan, urine clear and yellow. Orders for admission to ICU for further monitoring. Vitals: Temp: 98.6*F Pulse 88 Respirations: 20 Blood Pressure: 138/82 Oxygen Saturation: 98% on Room Air.  NIHSS: 4   The client is steadily improving and will likely stay for 3-4 days depending upon her continued improvement.  During her hospital stay, which diagnostic tests does the nurse anticipate to be ordered in effort to determine the cause of the stroke? Select all that apply.

The nurse is caring for a client with external ventricular drain. Which of the following nursing interventions is appropriate?

A client is admitted after a motorcycle accident with multiple traumatic injuries. The client has facial and forearm lacerations, a fractured femur, and an X-ray confirming a C7 vertebral fracture. On assessment, he is alert and oriented, pupils are equal at 5 mm and reactive to light, but he has no sensation in his legs or feet. Which nursing action is the priority?

The nurse is preparing a client with multiple sclerosis for discharge from the hospital to home. Which of the following instructions is most appropriate when teaching this client?

A nurse educator is educating new nurses about the various medications used to manage seizure disorders. Which of the following medications should the nurse include as commonly used for the treatment of seizures? Select all that apply

A 62 y/o male is arriving via Emergency Medical Services (EMS) with chest pain.   Nurse’s Note:  12/16/23 1010: 62 y/o male c/o crushing sternal pain, radiating down the left arm. States the pain becomes worse with activity and started approximately two hours ago while shoveling snow. Patient states he is also short of breath with activity. Pt is ALOx3. Lungs clear throughout. Abd soft, nontender, bowel sounds active. Pt states urinary output is “normal” with no c/o of odor, pain, pressure. Skin is C/D/I. 18G in the left forearm.      Vital Signs:  98.4 F, HR – 112, RR – 18, BP 162/89, Pulse Ox: 93% on RA    ECG:  Sinus Tachycardia rate 112 bpm. ST elevation noted in V3 and V4    Laboratory Results:  Lab  Results  Reference Range:  WBC  9 x 10^3 cells/mm3  4500–11,000/mm3  RBC  5.3 × 106/μL  4.7-6.1 × 106/μL  Hgb  15.8 g/dL  Male: 14–17.4 g/dL  Hct  44%  Male: 42–52%  Plts  254,000/mm3  140,000–400,000/mm3  Na  144 mEq/L  135-147 mEq/L  Cl  104 mEq/L  95-106 mEq/L  K  4.8 mEq/L  3.5-5.3 mEq/L  CO2  29 mEq/L  22-30 mEq/L  BUN  12 mg/dL  6-20 mg/dL  Cr  1.1 mg/dL  0.6-1.3 mg/dL  Troponin T  0.7 ng/mL  0-0.04 ng/mL  Creatine Kinase MB (CK-MB)  187 IU/L  5-25 IU/L  Cholesterol  265 mg/dL  240 high  The client has now received fibrinolytic therapy post Percutaneous Transluminal Coronary Intervention (PTCI).  Select whether the intervention is indicated or contraindicated post fibrinolytic therapy.  

A client undergoes a transurethral resection of the prostate (TURP). In the recovery room he has a continuous bladder irrigation (CBI) of normal saline in progress. What is the purpose of CBI?

A client is scheduled to undergo a resection of the prostate. When recording the health history, the nurse asks the client about his chief complaint. Which of the following complaints is the most serious symptom that can accompany benign prostatic hypertrophy (BPH)?