A client is prescribed metronidazole, an antimicrobial agent, orally for 10 days. When performing discharge teaching, which statement(s) should be included in the instruction? (SELECT ALL THAT APPLY)

Complete all doses of metronidazole in your prescription

Do not drink alcohol while taking metronidazole and for 2 days after you finish the pills.

Use a barrier form of contraception while taking medication

Strain all urine for crystal fragments

The drug may change your urine's color to pale yellow

Answer and Explanation

Correct Answer : A,B,C

A.   This statement is correct and crucial. Completing the full course of antibiotics is essential to ensure the infection is fully treated and to prevent antibiotic resistance.
B.   Metronidazole can cause a disulfiram-like reaction (similar to what occurs with alcohol and disulfiram) if alcohol is consumed during treatment or shortly after. Symptoms can include flushing, nausea, vomiting, and palpitations.
C.   Metronidazole can potentially reduce the effectiveness of hormonal contraceptives. Using a barrier method, like condoms, can help prevent unintended pregnancy during treatment.
D.   This statement is not necessary. Metronidazole is not typically associated with crystalluria or the need to strain urine for crystal fragments. This instruction does not apply to this medication.
E.   This statement is inaccurate. While metronidazole can cause darkening of the urine, it is not specifically known to change urine to pale yellow. Typically, discoloration could be more of a brown or dark color, and pale yellow is not a common effect of this medication.

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Correct Answer is B

Explanation

A. Loss of hair on the lower extremities can be a common sign of chronic PAD, indicating reduced blood
flow. While it’s an important observation, it is not an immediate concern.
B. Cold legs can indicate poor blood flow, which is a significant concern in PAD. The use of a heating pad can pose a risk of burns due to impaired sensation, especially in clients with poor circulation. This statement warrants immediate intervention, as the nurse should educate the client against using heat sources that can cause injury and assess the client's circulation and potential complications.
C. This describes claudication, a common symptom of PAD, where pain occurs in the legs due to inadequate blood flow during physical activity. While it indicates worsening symptoms of PAD, it is not an immediate emergency.
D. Reddish discoloration (rubor) when the legs are dependent can indicate blood pooling due to decreased venous return or arterial insufficiency. While this observation is significant and requires monitoring, it is not as urgent as the concern related to using a heating pad.

A. administer the PRN antianxiety medication. B. auscultate the client's breath sounds. C. elevate the head of the bed. D. prepare for mechanical ventilation.

Correct Answer is C

Explanation

A. While anxiety can exacerbate feelings of breathlessness, treating anxiety does not address the
underlying issue of respiratory distress. It is important to first stabilize the client’s respiratory condition
before managing anxiety.
B. Auscultating breath sounds can provide valuable information regarding the client’s respiratory status. However, in an emergency situation, immediate interventions to stabilize the client should take precedence over assessments, especially since the vital signs indicate significant distress.

C. Elevating the head of the bed can help improve respiratory effort by allowing better lung expansion and reducing the work of breathing. Given the client’s low oxygen saturation and signs of respiratory distress, this intervention can provide immediate relief and improve oxygenation.
D. While this may be necessary if the client's condition worsens or does not improve, it is not the first action to take. Preparing for mechanical ventilation is a more advanced intervention and should only occur after initial stabilization efforts have been made.

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A client is prescribed metronidazole, an antimicrobial agent, orally for 10 days. When performing discharge teaching, which statement(s) should be included in the instruction? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a diagnosis of chronic peripheral arterial disease. Which statement by the client warrants immediate intervention by the nurse?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

The client who has been taking glipizide for 6 months reports to the nurse that his urine has become darker since starting the medication. What is the nurse's first action?

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