A nursing instructor is preparing a teaching plan for a group of nursing students about macrolide antibacterial drugs.
Which of the following would the instructor expect to include?

Macrolides are narrow-spectrum antibiotics.

Macrolides are contraindicated in clients with renal dysfunction.

Macrolides may cause hearing impairment.

Macrolides cannot be used in clients allergic to penicillins.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Macrolides are typically broad-spectrum antibiotics, not narrow-spectrum. They are effective against a wide range of bacteria, making them a valuable option for various infections.

Choice B rationale:

Macrolides are generally well-tolerated, and they are not contraindicated in clients with renal dysfunction. In fact, macrolides like azithromycin are often preferred in such cases due to their minimal renal excretion.

Choice C rationale:

Macrolides, specifically erythromycin, have been associated with ototoxicity, which can lead to hearing impairment. This side effect is relatively rare but can occur, especially with high doses or prolonged use. It's important for healthcare providers to monitor for this potential adverse effect.

Choice D rationale:

Macrolides are often used as an alternative for clients who are allergic to penicillins, so they can be used in this population when appropriate. The cross-reactivity between these drug classes is relatively low, and macrolides can be a suitable choice for penicillin-allergic individuals.

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Correct Answer is A

Explanation

Choice B rationale:

Nausea is a common side effect of metoclopramide, and while it is important to monitor, it is not a symptom that the client should specifically report to the primary healthcare provider unless it becomes severe or persistent.

Choice C rationale:

Muscle laxity and shuffling gait (Choices C and D) are potential side effects of other medications, such as antipsychotic drugs, but they are not typically associated with metoclopramide. Therefore, these are not the symptoms the client should report. Difficulty swallowing (Choice A) is a concerning side effect of metoclopramide and should be reported to the healthcare provider immediately. It can be a sign of a serious condition called tardive dyskinesia, which is a potentially irreversible side effect of the medication. Early recognition and discontinuation of metoclopramide are essential to prevent further complications.

A. Urinalysis. B. Culture tests. C. Ulcer tests. D. Stool tests.

Correct Answer is B

Explanation

Choice A rationale:

Urinalysis is not typically required before administering ciprofloxacin unless there is a specific indication. Ciprofloxacin is often prescribed for urinary tract infections, but routine urinalysis may not be necessary in all cases. Culture tests are more appropriate to determine the causative microorganism and its susceptibility to ciprofloxacin.

Choice B rationale:

Culture tests are essential before administering ciprofloxacin. These tests help identify the specific pathogen causing the infection and determine its sensitivity to the antibiotic. This information is crucial for selecting the most effective treatment and preventing the development of antibiotic resistance.

Choice C rationale:

There is no standard "ulcer test" that needs to be completed before administering ciprofloxacin. The choice of administering ciprofloxacin would depend on the clinical presentation, patient history, and the suspected infection. Culture tests are more relevant for identifying the infection's source.

Choice D rationale:

Stool tests are not typically required before administering ciprofloxacin unless there is a specific indication, such as suspected gastrointestinal infections. Again, the necessity for such tests would depend on the clinical presentation and the healthcare provider's assessment. Culture tests are essential for identifying the causative microorganism in most cases.

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A nursing instructor is preparing a teaching plan for a group of nursing students about macrolide antibacterial drugs.Which of the following would the instructor expect to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.The nurse determines that the teaching was successful when the client states which of the following?

Correct Answer is A

Explanation

A nurse is preparing to administer ciprofloxacin as ordered.Which test would the nurse ensure is completed before administering the first dose to the patient?

Correct Answer is B

Explanation

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A nursing instructor is preparing a teaching plan for a group of nursing students about macrolide antibacterial drugs.
Which of the following would the instructor expect to include?