A. Incorrect: Deep vein thrombosis (DVT) is not a known complication of isoniazid.

Incorrect: Hemorrhage is not associated with isoniazid.

Correct: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Clients experiencing numbness and tingling should be assessed for neuropathy and may need pyridoxine supplementation.

Incorrect: Achilles tendon rupture is a complication of fluoroquinolones, not isoniazid

Answer and Explanation

The Correct Answer is D

A. Incorrect: Achilles tendon rupture is not a complication of trimethoprim-sulfamethoxazole.

B. Incorrect: Abstinence syndrome (withdrawal symptoms) occurs with opioid dependence, not antibiotics.

C. Incorrect: Hypokalemia is not associated with this medication.

D. Correct: Trimethoprim can cause hyperkalemia by decreasing potassium excretion, especially in older adults or those with kidney disease.

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Correct Answer is C

Explanation

A. Incorrect: COX-1 and COX-2 enzyme inhibition is the mechanism of NSAIDs (e.g., ibuprofen), not gentamicin.

B. Incorrect: This describes the mechanism of ACE inhibitors (e.g., enalapril), not gentamicin.

C. Correct: Gentamicin is an aminoglycoside antibiotic that inhibits bacterial protein synthesis, leading to bacterial cell death.

D. Incorrect: This describes the action of angiotensin II receptor blockers (ARBs), not gentamicin.

A. “I will take the medication with 8 ounces of milk.” B. “I can take this medication only needed schedule.” C. “I will let my doctor know if I start developing a yeast infection." D. “I can Stop this medication when I feel better."

Correct Answer is C

Explanation

A. Incorrect: Taking antibiotics with milk can decrease absorption and effectiveness.

B. Incorrect: Antibiotics for H. pylori should be taken on a fixed schedule, not as needed.

C. Correct: Antibiotics can disrupt normal flora, increasing the risk of yeast infections. Clients should report signs of candidiasis (e.g., white patches in the mouth, vaginal itching).

D. Incorrect: Stopping antibiotics early can lead to incomplete eradication of H. pylori and antibiotic resistance.

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A. Incorrect: Deep vein thrombosis (DVT) is not a known complication of isoniazid.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is starting a course of gentamicin IV for a bacterial infection. Which of the following is the correct expected pharmacological action for this medication?

Correct Answer is C

Explanation

A nurse is teaching a client about taking to treat a gastrointestinal (Gl) infection due to Helicobacter pylori. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is C

Explanation

A nurse is teaching a client who is beginning a course of metronidazole to treat a sexually transmitted infection (STI). Which of the following responses by the nurse should be included in the client education of this medication?

A nurse is caring for a client with a new diagnosis of herpes zoster. Which of the following medications should the nurse anticipate providing to this client?

A nurse is teaching a client who is beginning a course of metronidazole to treat a bacterial infection. For which of the following findings of an adverse effect should the nurse instruct the client as a priority to Stop taking metronidazole and notify the provider?

A nurse is caring for a client who has a cerebrospinal fluid infection with gram-negative bacteria. Which of the following cephalosporins should the nurse expect to administer via the intravenous (IV) route to treat this infection?

A nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which information should the primary nurse include in the teaching? (Select All That Apply).

A nurse is caring for a client who has diabetes mellitus and pulmonary tuberculosis, and a new prescription for isoniazid. The client reports tingling and numbness of the hands and feet. The nurse should expect which of the following drugs to prevent this adverse effect of INH?

A nurse is teaching a client about the manifestations of urinary tract infection. Which of the following tests is needed to determine which microorganism is causing the infection?

A nurse is implementing a plan of care for a client who has a cough with sputum. The nurse suspects that the client has a respiratory infection. What is the nurse's priority?