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A nurse is teaching a client who is beginning a course of metronidazole to treat a bacterial infection. For which of the following findings of an adverse effect should the nurse instruct the client as a priority to Stop taking metronidazole and notify the provider?

Metallic taste

Dark-colored urine

Nausea

Seizures

Answer and Explanation

The Correct Answer is D

A. Incorrect: A metallic taste is a common but mild side effect and does not require stopping the medication.

B. Incorrect: Dark-colored urine is a harmless and expected side effect of metronidazole.

C. Incorrect: Nausea is a common side effect but not a reason to discontinue the medication.

D. Correct: Seizures are a serious adverse effect of metronidazole and require immediate discontinuation and medical evaluation.

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

Explanation

A. Incorrect: Prophylactic antibiotics are not given for a diagnosed respiratory infection. Instead, targeted treatment based on the pathogen is used.

B. Correct: Clients with prosthetic heart valves need prophylactic antibiotics before dental procedures to prevent infective endocarditis.

C. Incorrect: Upper respiratory infections are often viral, and antibiotics are not routinely needed.

D. Correct: Clients undergoing orthopedic surgery may require prophylactic antibiotics to prevent surgical site infections.

A. 1130 B. 1100 C. 1000 D. 1030

Correct Answer is D

Explanation

A. Incorrect: 1130 is too late for an accurate peak level.

B. Incorrect: 1100 is later than necessary for a peak level.

C. Incorrect: 1000 is when the infusion ends, but the drug has not yet reached peak levels in the blood.

D. Correct: Gentamicin peak levels are typically measured 30 minutes after the infusion is completed. Since the infusion starts at 0900 and runs for 60 minutes (until 1000), the peak level should be drawn at 1030.

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A nurse is teaching a client who is beginning a course of metronidazole to treat a bacterial infection. For which of the following findings of an adverse effect should the nurse instruct the client as a priority to Stop taking metronidazole and notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which information should the primary nurse include in the teaching? (Select All That Apply).

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

Explanation

A nurse is administering gentamicin by intravenous (IV) route at 0900. The medication will take 60 minutes to infuse. When should the nurse obtain a blood sample for a peak blood level of gentamicin?

Correct Answer is D

Explanation

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 administering acyclovir via intravenous (IV) route to a client who has varicella. Which of the following actions should the nurse take?

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.).

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?

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

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A nurse is caring for a client with a new diagnosis of herpes zoster. Which of the following medications should the nurse anticipate providing to this client?

A nurse is implementing a plan of care for a client who has a cough with sputum. The nurse suspects that the client has a respiratory infection. What is the nurse's priority?