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A client with vulvovaginitis is prescribed oral metronidazole. Which instruction should the nurse provide to the client about this medication?

"Take the medication with an antacid to reduce stomach upset.”

"Avoid alcohol consumption during and 24 hours after completing the medication course.”

"Take the medication on an empty stomach for better absorption.”

"Discontinue the medication if you notice any improvement in your symptoms.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Taking metronidazole with an antacid may decrease its absorption and effectiveness.

Choice B rationale:

Metronidazole and alcohol interaction can lead to a disulfiram-like reaction, causing nausea, vomiting, flushing, and palpitations. Avoiding alcohol ensures the client's safety and prevents adverse effects.

Choice C rationale:

Taking metronidazole on an empty stomach is not necessary and may increase the risk of gastrointestinal upset.

Choice D rationale:

Discontinuing metronidazole prematurely can lead to treatment failure and potential recurrence of infection.

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Correct Answer is C

Explanation

Choice A rationale:

Wearing gloves and a gown while in contact with the patient is essential, but it does not address the potential airborne transmission of Ebola virus.

Choice B rationale:

Ensuring that the patient's visitors wear a mask is important, but it does not directly address the isolation and containment of the virus within the hospital environment.

Choice C rationale:

This is the correct answer. Placing the patient in a room with negative pressure airflow helps prevent the spread of contaminated air to other areas of the hospital. It reduces the risk of airborne transmission of the virus, which is crucial in containing the disease.

Choice D rationale:

Avoiding the use of hand sanitizers to prevent the spread of the virus is not a recommended precautionary measure. Hand hygiene, including the use of hand sanitizers, is still crucial in preventing the spread of infections, including Ebola.

A. Elevated platelet count. B. Decreased liver enzymes. C. Decreased white blood cell count. D. Elevated serum creatinine levels.

Correct Answer is C

Explanation

Choice A rationale:

An elevated platelet count is less likely in a patient with EVD. Thrombocytopenia (low platelet count) is a common laboratory finding in EVD due to the virus's impact on the bone marrow.

Choice B rationale:

Decreased liver enzymes is less likely. EVD can lead to elevated liver enzymes due to liver damage caused by the virus.

Choice C rationale:

This is the correct answer. A decreased white blood cell count, specifically lymphocytes, is expected in a patient with EVD. The virus can lead to suppression of the immune system, including a decrease in white blood cell counts.

Choice D rationale:

Elevated serum creatinine levels are not a typical finding in EVD. Kidney dysfunction is not a primary feature of the disease, so elevated creatinine levels are less likely.

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A client with vulvovaginitis is prescribed oral metronidazole. Which instruction should the nurse provide to the client about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is caring for a patient with suspected Ebola virus disease (EVD) Which of the following laboratory findings would the nurse expect in this patient?

Correct Answer is C

Explanation

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