A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

Methadone

Acamprosate

Disulfiram

Lorazepam

Answer and Explanation

The Correct Answer is D

A.   Methadone is an opioid agonist primarily used for the management of opioid dependence and chronic pain. It is not indicated for the treatment of alcohol withdrawal or delirium.
B.   Acamprosate is a medication used to support abstinence in individuals who have recently stopped drinking alcohol. It is not typically used to manage acute alcohol withdrawal symptoms such as delirium tremens.
C.   Disulfiram is a medication used as an aversive therapy to deter alcohol consumption by causing unpleasant reactions (e.g., flushing, nausea, vomiting) when alcohol is ingested. It is not indicated for the treatment of alcohol withdrawal or delirium.
D.   Lorazepam is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, including delirium tremens. It acts by enhancing the inhibitory effects of gamma- aminobutyric acid (GABA) in the central nervous system, thereby reducing the symptoms of alcohol withdrawal such as seizures.

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Correct Answer is A

Explanation

A. Azithromycin is an antibiotic commonly used to treat infections such as chlamydia. While it's generally well-tolerated, it can rarely cause serious side effects such as allergic reactions or severe skin reactions. Sore throat or fever may indicate such adverse effects, and patients

should be instructed to contact their healthcare provider immediately if they experience these symptoms.
B. Dark yellow or orange urine is not a typical side effect of azithromycin. It can be caused by drugs such as rifampin.
C. Taking azithromycin with an antacid is generally not necessary and may interfere with the absorption of the medication. It's usually recommended to take azithromycin on an empty stomach, at least 1 hour before or 2 hours after meals, unless otherwise directed by a healthcare provider.
D. Bleeding gums are not a common side effect of azithromycin. If a patient experiences unusual bleeding or bruising, they should seek medical attention, but this symptom is not specifically associated with azithromycin use.

A. "The client verbalizes a ringing in the ears." B. "The client reports constipation with abdominal cramping." C. "The client had a small amount of yellow emesis." D. "The client has swollen lips."

Correct Answer is C

Explanation

A. Tinnitus, or ringing in the ears, is a common adverse effect of aminoglycosides such as gentamycin which cause ototoxicity, rather than erythromycin which is a macrolide.
B. Constipation with abdominal cramping, is not a commonly reported side effect of erythromycin; this medication is more likely to cause diarrhea rather than constipation.
C. Common adverse effects of oral erythromycin include gastrointestinal symptoms such as abdominal cramping and nausea. Therefore, the statement indicating the client is experiencing a common adverse effect would be having a small amount of yellow emesis which aligns with the reported side effects of nausea and vomiting.
D. Swollen lips are not a common adverse effect of erythromycin. This symptom may indicate an allergic reaction or another issue unrelated to the medication.

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A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

Correct Answer is A

Explanation

A nurse is caring for a client who is taking oral erythromycin. Which of the following statements by the nurse indicates the client is experiencing a common adverse effect of this medication?

Correct Answer is C

Explanation

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