A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the client to avoid while taking this drug?
Caffeine
Chocolate
Nicotine
Alcohol
The Correct Answer is D
Choice A: Caffeine is not the correct answer because it does not interact with metronidazole. Caffeine is a stimulant that can increase alertness, energy, and heart rate. However, it has no effect on the effectiveness or side effects of metronidazole.
Choice B: Chocolate is not the correct answer because it does not interact with metronidazole. Chocolate is a food that contains caffeine, sugar, and fat. However, it has no effect on the effectiveness or side effects of metronidazole.
Choice C: Nicotine is not the correct answer because it does not interact with metronidazole. Nicotine is a substance that can be found in tobacco products, such as cigarettes, cigars, or chewing tobacco. However, it has no effect on the effectiveness or side effects of metronidazole.
Choice D: Alcohol is the correct answer because it interacts with metronidazole. Alcohol is a substance that can be found in beverages, such as beer, wine, or liquor. It can cause a severe reaction when combined with metronidazole, resulting in symptoms such as nausea, vomiting, headache, flushing, and palpitations. Therefore, the nurse should instruct the client to avoid alcohol while taking metronidazole.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Vomiting is not the most serious side effect because it is a common and manageable side effect of chemotherapy. Vomiting is a reflex action that expels the contents of the stomach through the mouth. It can be caused by various factors such as nausea, motion sickness, or infection. It can also be caused by chemotherapy, which can irritate the lining of the stomach or trigger the vomiting center in the brain. Vomiting can be prevented or treated with antiemetic drugs, hydration, and dietary changes.
Choice B: Fatigue is not the most serious side effect because it is a common and manageable side effect of chemotherapy. Fatigue is a condition that causes extreme tiredness or exhaustion that is not relieved by rest or sleep. It can be caused by various factors such as anemia, inflammation, or pain. It can also be caused by chemotherapy, which can damage healthy cells and tissues and affect the body's energy production. Fatigue can be managed with exercise, nutrition, and stress reduction.
Choice C: Hair loss is not the most serious side effect because it is a common and temporary side effect of chemotherapy. Hair loss is a condition that causes hair to fall out from the scalp or other parts of the body. It can be caused by various factors such as genetics, hormones, or infection. It can also be caused by chemotherapy, which can target rapidly dividing cells such as hair follicles and prevent hair growth. Hair loss usually occurs within two to four weeks after starting chemotherapy and reverses within six months after stopping chemotherapy.
Choice D: Myelosuppression is the most serious side effect because it is a rare and life-threatening side effect of chemotherapy. Myelosuppression is a condition that causes a decrease in the production of blood cells in the bone marrow. It can lead to anemia (low red blood cells), neutropenia (low white blood cells), and thrombocytopenia (low platelets), which can cause symptoms such as weakness, infection, and bleeding. It can also be caused by chemotherapy, which can target rapidly dividing cells such as bone marrow cells and impair blood cell formation. Myelosuppression requires close monitoring and treatment with blood transfusions, growth factors, or antibiotics.

Correct Answer is ["0.8"]
Explanation
- To find the amount of mL to administer per dose, we need to use a ratio and proportion method.
- We can set up a proportion as follows: 250 mg/2 mL = 100 mg/x mL
- To solve for x, we cross-multiply and get: 250x = 200
- Then we divide both sides by 250 and get: x = 200/250
- To simplify, we can reduce the fraction by dividing both the numerator and denominator by 50 and get: x = 4/5
- To convert the fraction to a decimal, we divide 4 by 5 and get: x = 0.8
- Therefore, the nurse should administer 0.8 mL of hydrocortisone per dose.
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