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 C

Explanation

A. There's no documented interaction between cefuroxime and sildenafil. Cefuroxime is an antibiotic, and there are no known significant interactions with sildenafil.
B. There's no documented interaction between metformin and sildenafil. Metformin, an antidiabetic medication, does not interact significantly with sildenafil.
C. Both sildenafil and isosorbide are vasodilators, and concomitant use can result in severe hypotension due to additive effects on blood pressure lowering. Therefore, their combination is contraindicated.

D. Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), does not have a significant interaction with sildenafil. They can be safely used together in most cases, although caution may be needed in individuals with cardiovascular risk factors.

A. Difficulty voiding B. Diarrhea C. Slow pulse D. Excessive salvation

Correct Answer is A

Explanation

A. Benztropine, an anticholinergic medication, can cause urinary retention or difficulty with urination as a side effect due to its anticholinergic properties. Clients should be instructed to report any difficulty voiding promptly, as it can lead to complications such as urinary tract infections or bladder distention.
B. Benztropine is not typically associated with diarrhea as an adverse effect.

C. While anticholinergic medications can cause tachycardia (increased heart rate) due to their anticholinergic effects, they are not associated with slow pulse.
D. Benztropine is used to decrease excessive salivation (sialorrhea) rather than causing it as an adverse effect.

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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

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil. The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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