A nurse is caring for a client who has tuberculosis and is prescribed rifampin, an antitubercular drug. The nurse should instruct the client about which potential side effect of rifampin?
Red-orange discoloration of body fluids
Metallic taste in mouth
Photosensitivity reaction
Ototoxicity.
The Correct Answer is A
The nurse should instruct the client about this possibility and reassure them that it is harmless and will disappear when the medication is discontinued.
Choice B is wrong because metallic taste in mouth is not a side effect of rifampin, but of metronidazole, an antibiotic used to treat infections caused by anaerobic bacteria or protozoa.
Choice C is wrong because photosensitivity reaction is not a side effect of rifampin, but of tetracycline, an antibiotic used to treat acne and other infections.
Choice D is wrong because ototoxicity is not a side effect of rifampin, but of aminoglycosides, a class of antibiotics used to treat serious infections caused by gram-negative bacteria.
Ototoxicity can cause hearing loss or balance problems.
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Related Questions
Correct Answer is D
Explanation
Vancomycin is an antibiotic that can cause ototoxicity, which is damage to the inner ear due to exposure to certain drugs.Ototoxicity can manifest as tinnitus (ringing in the ears), vertigo (dizziness), and hearing loss.Vancomycin ototoxicity is usually related to high serum levels of the drug and is more likely to occur in patients with renal impairment.Vancomycin can also potentiate the ototoxicity of other drugs, such as aminoglycosides.
Choice A is wrong because tinnitus is a possible manifestation of ototoxicity.
Choice B is wrong because vertigo is a possible manifestation of ototoxicity.
Choice C is wrong because hearing loss is a possible manifestation of ototoxicity.
Correct Answer is C
Explanation
Azithromycin is a macrolide antibiotic that can cause a rare but serious side effect calledQT prolongation, which affects the electrical activity of the heart and can lead toirregular heartbeats, chest pain, and sudden cardiac death. The patient should report any signs of chest pain or palpitations to the doctor immediately.
Choice A is wrong because diarrhea is a common side effect of azithromycin that usually does not require medical attention unless it is severe or bloody.
Choice B is wrong because headache is also a common side effect of azithromycin that usually does not require medical attention unless it is severe or persistent.
Choice D is wrong because nausea is another common side effect of azithromycin that usually does not require medical attention unless it is severe or accompanied by vomiting.
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