A nurse is preparing to administer a drug via an intramuscular (IM) route to an adult client who has a bacterial infection. Which actions should the nurse plan to take? (Select All That Apply.)

Administer the medication into the subcutaneous tissue.

Tell the client to expect a temporary rash to develop following the injection.

Monitor the client for 30 minutes following the injection.

Ask the client about an allergy to penicillin before administering the medication.

Answer and Explanation

Correct Answer : C,D

A. Incorrect – Blood creatinine: Measures kidney function but does not diagnose UTIs or identify the causative organism.

B. Incorrect – Blood culture: Used to detect bacteria in the bloodstream (e.g., sepsis) but does not identify a UTI-causing pathogen.

C. Correct – Urine culture and sensitivity: This test identifies the specific bacteria causing the UTI and determines which antibiotics will be most effective for treatment.

D. Incorrect – Complete Blood Count (CBC): Can show elevated WBCs, indicating infection, but does not determine the pathogen.

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Correct Answer is D

Explanation

A. Incorrect: Achilles tendon rupture is not a complication of trimethoprim-sulfamethoxazole.

B. Incorrect: Abstinence syndrome (withdrawal symptoms) occurs with opioid dependence, not antibiotics.

C. Incorrect: Hypokalemia is not associated with this medication.

D. Correct: Trimethoprim can cause hyperkalemia by decreasing potassium excretion, especially in older adults or those with kidney disease.

A. Pruritus B. Paresthesia of the hands and feet C. Drowsiness D. Reflex tachycardia

Correct Answer is ["A","B"]

Explanation

A. Correct: Pruritus (itching) may indicate a hypersensitivity reaction.

B. Correct: Paresthesia (numbness/tingling) is a sign of neurotoxicity, a known side effect of aminoglycosides like gentamicin.

C. Incorrect: Drowsiness is not a common adverse effect of gentamicin.

D. Incorrect: Reflex tachycardia is not typically associated with gentamicin.

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A nurse is preparing to administer a drug via an intramuscular (IM) route to an adult client who has a bacterial infection. Which actions should the nurse plan to take? (Select All That Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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.).

Correct Answer is ["A","B"]

Explanation

A nurse is teaching a client about taking to treat a gastrointestinal (Gl) infection due to Helicobacter pylori. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

A nurse is teaching a client who is beginning a course of metronidazole to treat a sexually transmitted infection (STI). Which of the following responses by the nurse should be included in the client education of this medication?

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 teaching a client who has a severe urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following information about adverse reactions should the nurse include? (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?

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

A nurse is planning discharge teaching for a female client who has a prescription for trimethoprim-sulfamethoxazole (Bactrim). Which of the following information should the nurse include?