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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Fertility problems are one of the long-term adverse reactions that may occur with antineoplastic therapy. Some chemotherapy drugs can impact fertility in both males and females, either temporarily or permanently. It's important to discuss these potential effects with patients before starting treatment, as it may influence their decisions about family planning.
Choice B rationale:
Thrombocytopenia is not a long-term adverse reaction but a potential short-term side effect of antineoplastic therapy. Thrombocytopenia is a condition characterized by a low platelet count and can lead to bleeding problems.
Choice C rationale:
Leukopenia is not a long-term adverse reaction but rather a potential short-term side effect of antineoplastic therapy. Leukopenia refers to a decrease in white blood cell count and can increase the risk of infections.
Choice D rationale:
Stomatitis is not typically considered a long-term adverse reaction to antineoplastic therapy. Stomatitis is a common side effect of chemotherapy that involves inflammation of the mucous membranes in the mouth, and it usually occurs during treatment rather than persisting as a long-term effect.
Correct Answer is A
Explanation
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