A nurse is caring for a client who is prescribed with azithromycin for pertussis. Which of the following is a complication of this medication that can cause cardiac dysrhythmias?
Tooth discoloration
Photosensitivity
Prolonged QT intervals
Shortened QT intervals
The Correct Answer is C
A. Incorrect: Tooth discoloration is not a known complication of azithromycin.
B. Incorrect: Photosensitivity is more common with tetracyclines, not azithromycin.
C. Correct: Azithromycin can prolong the QT interval, increasing the risk of life-threatening arrhythmias such as torsades de pointes.
D. Incorrect: Azithromycin does not shorten the QT interval.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. Correct: Acyclovir is an antiviral medication used to treat herpes zoster (shingles) by reducing the severity and duration of symptoms.
B. Incorrect: Metronidazole is an antibacterial and antiprotozoal drug, not used for viral infections.
C. Incorrect: Isoniazid is used for tuberculosis, not herpes zoster.
D. Incorrect: Cefepime is a cephalosporin antibiotic used for bacterial infections, not viral infections.
Correct Answer is C
Explanation
A. Incorrect: Teaching about an incentive spirometer is important for lung expansion but is not the priority before confirming the infection.
B. Incorrect: Monitoring the cough is essential but does not directly lead to a diagnosis.
C. Correct: A sputum culture should be obtained before administering antibiotics to ensure appropriate treatment based on pathogen identification.
D. Incorrect: Administering an antibiotic is important but should be done after obtaining a sputum culture to ensure proper selection of the antimicrobial agent.
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