A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Endocarditis

Kidney transplant

Seizures

Hypokalemia

Answer and Explanation

The Correct Answer is A

A.   Endocarditis: Metronidazole is an antibiotic commonly used to treat infections caused by anaerobic bacteria, including certain types of endocarditis.
B.   Kidney transplant: Metronidazole is not typically indicated for kidney transplant. Other antibiotics may be used in post-transplant care to prevent or treat infections.
C.   Seizures: Metronidazole is not indicated for seizures. In fact, it may rarely cause neurological side effects such as seizures, but it is not typically used to treat seizures.
D.   Hypokalemia: Metronidazole is not indicated for hypokalemia. It is an antibiotic and does not directly affect potassium levels.

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

Explanation

A. Advise the client to change positions slowly: The client's symptoms of dizziness and light- headedness upon standing suggest orthostatic hypotension, which can be managed by advising the client to change positions slowly to minimize blood pressure drops upon standing.
B. Check the client for orthostatic hypotension. Monitor the client for dysrhythmias: The client's symptoms, along with the report of waking up at night to void, are suggestive of orthostatic hypotension, a drop in blood pressure upon standing. Checking for orthostatic hypotension and monitoring for dysrhythmias are appropriate nursing actions to assess and manage this condition.

C. Advise the client to restrict potassium intake: Restricting potassium intake is not indicated based on the client's symptoms of dizziness and light-headedness. This action is not relevant to the situation described.
D. Advise the client to take the medication before bedtime: There is no indication in the scenario provided that medication timing is related to the client's symptoms. This action is not relevant to addressing the client's reported symptoms.

A. Metformin B. Methotrexate C. Esomeprazole D. Estrogen

Correct Answer is B

Explanation

A. Metformin is not a contraindication for receiving the shingles vaccine.

B. Methotrexate, an immunosuppressant medication, can interfere with the efficacy of live vaccines such as the shingles vaccine, and it is generally contraindicated to administer live vaccines to individuals taking immunosuppressants.

C. Esomeprazole, a proton pump inhibitor, is not a contraindication for receiving the shingles vaccine.
D. Estrogen is not a contraindication for receiving the shingles vaccine.

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A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?

Correct Answer is B

Explanation

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