A nurse is preparing to administer ivermectin to a client who has onchocerciasis (river blindness).
Which of the following adverse effects should the nurse monitor for in this client?

Hypertension

Tinnitus

Mazzotti reaction

Stevens-Johnson syndrome.

Answer and Explanation

The Correct Answer is C

A Mazzotti reaction is a severe inflammatory response that can occur after taking ivermectin for onchocerciasis (river blindness), a parasitic infection caused by Onchocerca volvulus. The reaction is due to the death of the microfilariae (larvae) of the parasite and can cause fever, rash, itching, joint pain, swollen lymph nodes, and eye inflammation.

Choice A is wrong because hypertension is not a common adverse effect of ivermectin. Hypotension, however, can occur in some cases.

Choice B is wrong because tinnitus is not a common adverse effect of ivermectin. Tinnitus is a ringing or buzzing sound in the ears that can be caused by various factors, such as exposure to loud noise, ear infections, or certain medications.

Choice D is wrong because Stevens-Johnson syndrome is not a common adverse effect of ivermectin.

Stevens-Johnson syndrome is a rare but serious skin reaction that can be triggered by infections or medications.

It causes blisters and peeling of the skin and mucous membranes.

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

Explanation

The nurse should include these instructions in the teaching because:

• Tetracycline should be taken on an empty stomach to avoid interference with absorption.

• Dairy products should be avoided while taking this drug because they contain calcium, which can form insoluble complexes with tetracycline and reduce its effectiveness.

• Sunscreen or sun avoidance should be used while taking this drug because it can cause photosensitivity, which increases the risk of sunburn and skin damage.

• Plenty of fluids should be drunk while taking this drug because it can cause nephrotoxicity, which is damage to the kidneys.

Choice E is wrong because vaginal itching or discharge is not a common side effect of tetracycline.It may indicate a superinfection, which is a secondary infection caused by the disruption of normal flora by antibiotics.

This should be reported to the health care provider as soon as possible.

A. Instruct the client to swish and swallow the medication B. Administer the medication with a dropper to avoid aspiration C. Dilute the medication with water before giving it to the client D. Give the medication after meals to increase its effectiveness.

Correct Answer is A

Explanation

This is because nystatin suspension is an antifungal medication that works by coating the oral mucosa and killing the candida organisms.Swishing and swallowing the medication ensures that it reaches all the affected areas in the mouth and throat.

Choice B is wrong because administering the medication with a dropper to avoid aspiration is not necessary for a client who has oral candidiasis.

The client should be able to swish and swallow the medication without difficulty.

Choice C is wrong because diluting the medication with water before giving it to the client reduces its effectiveness and concentration.

The medication should be given undiluted for optimal results.

Choice D is wrong because giving the medication after meals to increase its effectiveness is not accurate.The medication should be given at least 30 minutes before or after meals to avoid interference with food or beverages.

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A nurse is preparing to administer ivermectin to a client who has onchocerciasis (river blindness). Which of the following adverse effects should the nurse monitor for in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has been prescribed tetracycline, a tetracycline antibiotic, for acne vulgaris. Which of these instructions should the nurse include in the teaching? (Select all that apply.)

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

Explanation

A nurse is caring for a client who has oral candidiasis and is prescribed nystatin suspension. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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The nurse is caring for a patient receiving vancomycin (Vancocin) for treatment of an infection caused by methicillin-resistant Staphylococcus aureus (MRSA). Which assessment finding would indicate a potentially serious adverse reaction to this drug?

A nurse is preparing to administer ivermectin to a client who has onchocerciasis (river blindness).
Which of the following adverse effects should the nurse monitor for in this client?