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 C

Explanation

A. A serum fasting glucose level of 101 mg/dL indicates a mild elevation but is not significantly high enough to contraindicate the use of TMP-SMX. It does not directly relate to the medication’s safety.
B. A platelet count of 160,000 µL is within normal limits (normal range is typically 150,000-450,000 µL). This result does not indicate any contraindication for using TMP-SMX.

C. A serum creatinine level of 2.5 mg/dL indicates impaired kidney function (normal range is typically 0.6-1.2 mg/dL). TMP-SMX can be contraindicated in patients with significant renal impairment due to the potential for drug accumulation and toxicity, particularly affecting renal function.
D. A hemoglobin level of 13.6 g/dL is within normal limits (normal range is approximately 13.5-17.5 g/dL for males and 12.0-15.5 g/dL for females). This result does not indicate a contraindication for using TMP- SMX.

A. Change the dressing B. Notify the physician C. Lower the head of the bed D. Mark the area of drainage, time and date

Correct Answer is D

Explanation

A. While it is important to maintain a clean and dry dressing, changing it immediately may not be necessary at this stage. The small amount of bloody drainage could be a normal postoperative finding, and changing the dressing could disturb the surgical site.
B. While it is important to keep the physician informed of any changes, in this case, a small amount of bloody drainage may not warrant immediate notification unless it becomes excessive or is accompanied by other concerning symptoms.
C. Lowering the head of the bed might not directly address the situation. It may be more appropriate if the patient shows signs of hypotension or distress, but there is no indication that the drainage has caused such a concern at this moment.
D. Marking the area of drainage allows for proper monitoring of the situation. It helps track whether the drainage increases, remains the same, or decreases over time. Documentation of the time and date also provides a clear record for the healthcare team regarding the postoperative course, which is essential for ongoing assessment.

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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

A newly admitted client has been prescribed sulfamethoxazole/trimethoprim. The nurse understands that this medication is contraindicated based on which lab result?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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