A child is on rifampin (Rimactane) for treatment of tuberculosis. ...

[saliriagwu]

A child is on rifampin (Rimactane) for treatment of tuberculosis. The parents call the clinic and report that the child's urine is orange. The nurse should advise the parents to
 
  1. bring the child to the clinic for aurinalysis.
  2. bring the child to the clinic for an radiograph of the kidneys.
  3. expect orange-colored urine whilethe child is on rifampin.
  4. encourage the child to drinkcranberry juice.

Question 2

A nurse is assessing a neonate. The assessment that might indicate that the neonate's respiratory status is worsening is
 
  1. acrocyanosis.
  2. arterial CO2 of 40.
  3. periorbital edema.
  4. grunting respirations with nasalflaring.

[katara]

Answer to Question 1

Answer:3
Rationale:Rifampin can color the urine orange,so the parents and child should be taught that this is an expected side effect.It does not mean the child has a urinary tract infection,and a urinalysis,radiograph,or encouragement of cranberry juice would not be options. Implementation

Answer to Question 2

Answer:4
Rationale:Grunting respirations with nasal flaring indicates respiratory status is becoming worse. Acrocyanosis (cyanosis of the extremities) is a normal finding in a neonate.CO2 of 40 is within a normal range.Periorbital edema does not necessarily mean deterioration in respiratory status.