Page 1632 - Saunders Comprehensive Review For NCLEX-RN
P. 1632

c.        Monitor for visual changes such


                                                                as altered color perception and
                                                                decreased visual acuity; if changes
                                                                occur, withhold the medication and
                                                                notify the PHCP.
                                                             d. Administer once every 24 hours and
                                                                administer with food to decrease
                                                                gastrointestinal upset.

                                                             e.        Monitor uric acid concentration

                                                                and assess for painful or swollen joints
                                                                or signs of gout.
                                                             f. Monitor intake and output and for
                                                                adequate renal function.
                                                             g. Assess mental status.
                                                             h. Monitor for dizziness and initiate safety
                                                                precautions.

                                                             i.       Assess for peripheral neuritis

                                                                (numbness, tingling, or burning of the
                                                                extremities); if it occurs, notify the
                                                                PHCP.

                                             5.        Client education

                                                             a. That nausea, related to the medication,
                                                                can be prevented by taking the daily
                                                                dose at bedtime or by taking the
                                                                prescribed antinausea medications
                                                             b. To notify the PHCP immediately if any
                                                                visual problems occur or if a rash;
                                                                swelling and pain in the joints; or
                                                                numbness, tingling, or burning in the
                                                                hands or feet occurs
                                D. Pyrazinamide
                                             1. Description
                                                             a. The exact mechanism of action is
                                                                unknown.
                                                             b. May be bacteriostatic or bactericidal,
                                                                depending on its concentration at the
                                                                infection site and on the susceptibility
                                                                of the infecting organism
                                                             c. Used with at least 1 other antitubercular
                                                                medication if ineffectiveness of the
                                                                primary medication(s) occurs






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