A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus.
Which of the following actions should the nurse include in the plan of care?
Monitor the client for hearing loss.
Implement a high-fiber diet to prevent constipation.
Administer the medication over 10 min.
Reconstitute the medication with a 5% dextrose solution.
The Correct Answer is A
The nurse should monitor the client for hearing loss because it is a potential adverse effect of erythromycin.
Choice B is wrong because a high-fiber diet to prevent constipation is not mentioned as a necessary action when administering erythromycin lactobionate IV bolus.
Choice C is wrong because erythromycin lactobionate IV bolus should not be administered over 10 min; bolus injection (IV push) is contraindicated.
Choice D is wrong because erythromycin lactobionate should not be reconstituted with a 5% dextrose solution; it should be reconstituted with sterile water for injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because hypotension (low blood pressure) can be a sign of anaphylaxis, which is a severe allergic reaction that can occur with ceftriaxone.
Choice A is wrong because polyuria (increased urination) is not a common sign of an allergic reaction to ceftriaxone.
Choice C is wrong because nausea can be a side effect of ceftriaxone but is not specific to an allergic reaction.
Choice D is wrong because bradycardia (slow heart rate) is not a common sign of an allergic reaction to ceftriaxone.
Correct Answer is D
Explanation
Lovastatin is a lipid-lowering medication that belongs to the statin drug class.
It is used to treat and prevent coronary heart disease and hypercholesterolemia.
Before starting therapy with lovastatin, liver function tests should be performed to establish a baseline and monitor for any potential adverse effects on the liver.
Choice A is wrong because Western blot analysis, is not the correct answer because it is a laboratory technique used to detect specific proteins in a sample, not to monitor liver function.
Choice B is wrong because Pancreatic enzymes, is not the correct answer because it refers to enzymes produced by the pancreas that aid in digestion, not liver function.
Choice C is wrong because Exercise electrocardiography, is not the correct answer because it is a diagnostic test used to assess the heart’s response to physical stress, not liver function.
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