A nurse is educating a client who has a respiratory infection and a new prescription for azithromycin (Zithromax).
Which of the following instructions should the nurse include? (Select all that apply).
Take the medication with or without food
Report any signs of jaundice or dark urine
Avoid drinking grapefruit juice while taking this medication
Complete the full course of therapy as prescribed
Store the medication in a cool and dry place.
Correct Answer : B,C,D
Choice A is wrong because azithromycin (Zithromax) should be taken with food to prevent stomach upset.
Choice B is correct because azithromycin can cause liver damage and the client should report any signs of jaundice or dark urine as they may indicate liver problems.
Choice C is correct because azithromycin can interact with grapefruit juice and increase the risk of side effects such as nausea, vomiting, diarrhea, headache and QT interval prolongation.
Choice D is correct because the client should complete the full course of therapy as prescribed to prevent bacterial resistance and recurrence of infection.
Choice E is wrong because azithromycin should be stored in a refrigerator and discarded after 10 days if it is in a liquid form.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because itraconazole can cause renal impairment and decreased urine output as an adverse effect.A normal serum creatinine level is 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females.
Choice B is wrong because decreased serum potassium level is not an adverse effect of itraconazole.Itraconazole can cause hypokalemia, which is a low level of potassium in the blood, but this is usually due to fluid retention and heart failure caused by the drug.A normal serum potassium level is 3.5 to 5.0 mEq/L.
Choice C is wrong because increased serum glucose level is not an adverse effect of itraconazole.Itraconazole can cause hyperglycemia, which is a high level of glucose in the blood, but this is usually due to diabetes mellitus or steroid use in patients taking the drug.A normal serum glucose level is 70 to 100 mg/dL.
Choice D is wrong because decreased white blood cell count is not an adverse effect of itraconazole.Itraconazole can cause leukopenia, which is a low level of white blood cells in the blood, but this is usually due to bone marrow suppression or infection in patients taking the drug.A normal white blood cell count is 4,500 to 11,000 cells/mm3.
Correct Answer is B
Explanation
A superinfection is defined as an infection that comes second to an initial infection and is often caused by the elimination of normal flora by an antibiotic.
Normal flora are the microorganisms that normally live in the human body and help prevent the growth of harmful pathogens.
When an antibiotic kills the normal flora, it creates an opportunity for other microorganisms to overgrow and cause a new infection.
Choice A is wrong because a resistant infection is an infection that does not respond to an antibiotic due to the presence of resistant bacteria.
Resistance can occur when bacteria mutate or acquire genes that make them able to survive the antibiotic.
Choice C is wrong because a nosocomial infection is an infection that is acquired in a hospital or health care setting.
Nosocomial infections can be caused by various factors, such as exposure to contaminated equipment, poor hygiene practices, or transmission from other patients or staff.
Choice D is wrong because an allergic reaction is an immune response to a foreign substance that is not harmful.
Allergic reactions can occur when a person is sensitive to an antibiotic or any other drug.
Symptoms of an allergic reaction may include rash, itching, swelling, or difficulty breathing.
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