Page 1655 - Saunders Comprehensive Review For NCLEX-RN

Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Respiratory Medications: Restrictive Airway Disease
Agents
Health Problem: Adult Health: Respiratory: Upper Airway
Priority Concepts: Clinical Judgment; Safety
Reference: Burchum, Rosenthal (2016), pp. 936-937.

588. Answer: 3

Rationale: Zafirlukast is a leukotriene receptor antagonist used in the prophylaxis
and long-term treatment of bronchial asthma. Zafirlukast is used with caution in
clients with impaired hepatic function. Liver function laboratory tests should be
performed to obtain a baseline, and the levels should be monitored during
administration of the medication. It is not necessary to perform the other laboratory
tests before administration of the medication.
Test-Taking Strategy: Eliminate options 2 and 4 first because they are comparable
or alike, noting that a complete blood count would include a neutrophil count. From
the remaining options, you would need to know that this medication affects hepatic
function.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Respiratory Medications: Restrictive Airway Disease
Agents
Health Problem: Adult Health: Respiratory: Asthma
Priority Concepts: Cellular Regulation; Gas Exchange
Reference: Hodgson, Kizior (2018), pp. 1246-1247.

589. Answer: 2

Rationale: Isoniazid is an antitubercular medication. A common side effect of
isoniazid is peripheral neuritis, manifested by numbness, tingling, and paresthesias
in the extremities. This can be minimized with pyridoxine (vitamin B ) intake.
6
Options 1, 3, and 4 are not associated with the information in the question.
Test-Taking Strategy: Focus on the information in the question, numbness,
paresthesias, and tingling in the extremities. Options 3 and 4 would not cause the
symptoms presented in the question but instead would cause pallor and coolness.
From the remaining options, you should know that peripheral neuritis is an adverse
effect of isoniazid, and that these signs and symptoms do not correlate with
hypercalcemia.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pharmacology: Respiratory Medications: Tuberculosis Medications
Health Problem: Adult Health: Respiratory: Tuberculosis

1655