A nurse is teaching a client who has a new prescription for erythromycin. Which of the following Information should the nurse include?
'Monitor for ringing in your ears."
Expect your skin to turn yellow.
Increase fiber intake to prevent constipation.
"Take this mediation with a glass of grapefruit juice.”
The Correct Answer is A
The correct answer is choice A. “Monitor for ringing in your ears.”
Choice A rationale:
Erythromycin can cause ototoxicity, which may present as tinnitus (ringing in the ears). Monitoring for this side effect is important to prevent potential hearing damage.
Choice B rationale:
Yellowing of the skin is not a common side effect of erythromycin. This symptom is more associated with liver issues or jaundice, which is not typically linked to erythromycin use.
Choice C rationale:
Erythromycin is more likely to cause gastrointestinal side effects such as diarrhea rather than constipation. Increasing fiber intake is not necessary to prevent constipation when taking this medication.
Choice D rationale:
Grapefruit juice can interfere with the metabolism of many medications, including erythromycin, potentially leading to increased drug levels and risk of side effects. It is generally advised to avoid grapefruit juice while taking erythromycin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.
A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.
A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.
A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a different site or route for administration if necessary.
Correct Answer is C
Explanation
The correct answer is choicec. Administer the medication under the client’s tongue.
Choice A rationale:
Administering the crushed medication through the NG tube is inappropriate because sublingual medications are designed to be absorbed through the tissues under the tongue, not the gastrointestinal tract. Crushing and administering it through the NG tube would alter its intended absorption and effectiveness.
Choice B rationale:
Dissolving the medication in water and giving it through the NG tube is also incorrect for the same reasons as Choice A. Sublingual medications are specifically formulated to be absorbed through the mucous membranes under the tongue, and changing the route of administration can affect the drug’s efficacy.
Choice C rationale:
Administering the medication under the client’s tongue is the correct action. Sublingual medications are designed to be absorbed directly into the bloodstream through the tissues under the tongue, bypassing the digestive system and providing rapid onset of action.
Choice D rationale:
While some medications can be safely switched to oral formulations for NG tube administration, such a change is only necessary when the prescribed route (in this case, sublingual) cannot be used. Without contraindications (e.g., inability to hold the medication under the tongue or mucosal issues), the original sublingual route should be followed.
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