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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is C
Explanation
A. Incorrect: Taking antibiotics with milk can decrease absorption and effectiveness.
B. Incorrect: Antibiotics for H. pylori should be taken on a fixed schedule, not as needed.
C. Correct: Antibiotics can disrupt normal flora, increasing the risk of yeast infections. Clients should report signs of candidiasis (e.g., white patches in the mouth, vaginal itching).
D. Incorrect: Stopping antibiotics early can lead to incomplete eradication of H. pylori and antibiotic resistance.
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