A nurse is caring for a client who is prescribed with for a gastrointestinal (GI) infection. The client has been taking the medication for two weeks and noted some redness and swelling at the Achilles tendon site. Based on the client's presenting Signs and symptoms. Which is the priority intervention for the nurse?

Stop taking this medication and avoid exercise until the inflammation subsides.

Continue taking this medication and increase physical activity.

Educate the client to increase the dose of this medication and physical activity

Educate the client medication to take this medication as needed.

Answer and Explanation

The Correct Answer is A

A. Correct: Fluoroquinolones (e.g., ciprofloxacin, levofloxacin) can cause tendonitis and tendon rupture, especially in the Achilles tendon. The medication should be stopped immediately, and the client should avoid weight-bearing activities.

B. Incorrect: Increasing physical activity can worsen tendon damage and increase the risk of rupture.

C. Incorrect: Increasing the dose would exacerbate the side effects.

D. Incorrect: Fluoroquinolones must be taken as prescribed but should be discontinued if serious side effects occur.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Incorrect: A metallic taste is a common but mild side effect and does not require stopping the medication.

B. Incorrect: Dark-colored urine is a harmless and expected side effect of metronidazole.

C. Incorrect: Nausea is a common side effect but not a reason to discontinue the medication.

D. Correct: Seizures are a serious adverse effect of metronidazole and require immediate discontinuation and medical evaluation.

A. Cefepime B. Isoniazid C. Acyclovir D. Metoprolol

Correct Answer is A

Explanation

A. Correct: Cefepime is a fourth-generation cephalosporin that is highly effective against gram-negative bacteria and can penetrate the blood-brain barrier to treat meningitis and other CNS infections.

B. Incorrect: Isoniazid is used for tuberculosis, not for gram-negative bacterial infections.

C. Incorrect: Acyclovir is an antiviral, not an antibiotic.

D. Incorrect: Metoprolol is a beta-blocker used for hypertension and cardiac conditions, not for infections.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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?

Which of the following medications are considered antibiotics to treat infections? (Select All that Apply)

A nurse is caring for a client who is prescribed with for cervicitis. The client has been taking this medication for one week and noted hearing loss, vertigo, and tinnitus. Based on the client's signs and symptoms, which of the following is a complication of this medication?

A nurse is administering gentamicin by intravenous (IV) route at 0900. The medication will take 60 minutes to infuse. When should the nurse obtain a blood sample for a peak blood level of gentamicin?

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?

A nurse is caring for a client starting a course of gentamicin IV for a serious respiratory infection. Which of the following manifestations should the nurse monitor as an adverse effect of this medication? (Select All That Apply.).

The nurse is caring for a client who is prescribed to treat acne vulgaris. Which Of the following Options are complications of this medication? (Select All That Apply.)

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