A nurse is caring for a client who has trichomoniasis and is prescribed tinidazole.
Which of the following instructions should the nurse give to the client?
Take the medication with an antacid to reduce gastric irritation.
Drink plenty of fluids to prevent crystalluria.
Avoid sexual intercourse until treatment is completed.
Chew the tablets thoroughly before swallowing.
Electrocardiogram.
The Correct Answer is C
The client should avoid sexual intercourse until treatment is completed. This is because trichomoniasis is a sexually transmitted infection that can be passed between partners during penile-vaginal sex or through transmission of infected vaginal fluids or fomites among women who have sex with women. Therefore, abstaining from sex until both partners are cured can prevent reinfection and transmission.
Choice A is wrong because taking the medication with an antacid can reduce its absorption and effectiveness. Tinidazole should be taken with food to minimize gastrointestinal side effects.
Choice B is wrong because drinking plenty of fluids to prevent crystalluria is not relevant for tinidazole.
Crystalluria is a condition where crystals form in the urine, which can cause kidney stones or damage. This is a potential complication of some antibiotics, such as sulfonamides, but not tinidazole.
Choice D is wrong because chewing the tablets thoroughly before swallowing is not necessary for tinidazole. Tinidazole tablets are film-coated and can be swallowed whole with water.
Chewing the tablets may alter their release and absorption, and may also cause a bitter aftertaste.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
These are the antimalarial drugs that are recommended for prophylaxis by the CDC and other sources.
They are effective against the malaria parasites that are resistant to chloroquine and primaquine, which are the other two options.
Choice A is wrong because chloroquine is not effective in areas where chloroquine resistance is present, which is most of the malaria-endemic regions.
Choice B is wrong because primaquine is not used for prophylaxis, but for radical cure of vivax and ovale malaria.It also requires a test for glucose-6-phosphate dehydrogenase (G6PD) deficiency before use, as it can cause hemolysis in people with this condition.
Choice C is correct because mefloquine is a suppressive prophylactic that can be used in areas with chloroquine resistance.
Correct Answer is ["A","B","E"]
Explanation
Jaundice, vision changes and numbness in the hands or feet are possible adverse effects of the drugs used to treat tuberculosis.The nurse should instruct the client to report these signs or symptoms as they may indicate liver damage, optic neuritis or peripheral neuropathy respectively.
Choice C is wrong because hearing loss is not a common side effect of these drugs.Hearing loss may be caused by other drugs such as aminoglycosides.
Choice D is wrong because orange-colored urine is a harmless side effect of rifampin and does not need to be reported.
The nurse should inform the client about this expected change and reassure them that it is not harmful.
The normal ranges for liver function tests are:
• AST: 10-40 U/L
• ALT: 7-56 U/L
• ALP: 45-115 U/L
• Bilirubin: 0.1-1.2 mg/dL
The normal range for visual acuity is 20/20.
The normal range for sensation is intact and symmetrical in all extremities.
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