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?

"The client verbalizes a ringing in the ears."

"The client reports constipation with abdominal cramping."

"The client had a small amount of yellow emesis."

"The client has swollen lips."

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

A. Lithium can cause hypothyroidism and goiter as adverse effects. Therefore, monitoring of thyroid function and physical examination for thyroid enlargement is necessary during lithium therapy.
B. Constipation is not a typical adverse effect of lithium carbonate. It's more commonly associated with side effects such as nausea, diarrhea, or polyuria.

C. Hyporeflexia is not commonly associated with lithium carbonate use. Lithium more commonly affects the central nervous system, leading to symptoms such as tremors, confusion, and seizures in cases of toxicity.
D. Lithium is more commonly associated with the opposite effect, lowering blood pressure rather than elevating it. It's known to have effects on sodium transport in renal tubules, leading to increased water retention and possibly hypotension.

A. Notify your provider if you experience a sore throat or fever while taking this medication. B. Urine that is dark yellow or orange is an expected adverse effect of this medication. C. Take the medication with an antacid to decrease stomach upset. D. You might experience bleeding gums while taking this medication.

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.

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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?

Nursing Test Bank

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