A patient has been ordered azithromycin [Zithromax] and asks the nurse why the medication does not have to be taken as often as other antibiotics that have previously been ordered. What is the nurse's best response?
"This drug has a longer duration of action than some of the other antibiotics."
"This is a much more effective drug than what you received previously."
"I'll call the pharmacy and ask about the chemical makeup of the drug."
"You'll need to ask your healthcare provider questions like that."
The Correct Answer is A
A. "This drug has a longer duration of action than some of the other antibiotics."
Explanation: Azithromycin, a macrolide antibiotic, has a longer half-life in the body compared to some other antibiotics. Half-life refers to the time it takes for half of the drug to be eliminated from the body. A longer half-life means the drug remains effective for a longer duration, allowing for less frequent dosing.
B. "This is a much more effective drug than what you received previously."
Explanation: While azithromycin is effective against a wide range of bacterial infections, it's not accurate to say it's universally more effective than other antibiotics. The choice of antibiotic depends on the specific type of infection and the susceptibility of the bacteria causing it. Effectiveness varies based on the context of use.
C. "I'll call the pharmacy and ask about the chemical makeup of the drug."
Explanation: While understanding the chemical makeup of drugs is important for healthcare professionals, it might not directly answer the patient's question about the dosing frequency. Explaining the drug's pharmacological properties, such as its duration of action, would provide a more relevant and understandable response to the patient's query.
D. "You'll need to ask your healthcare provider questions like that."
Explanation: This response does not provide the patient with the information they seek. Nurses are valuable resources for medication-related questions and should strive to provide accurate and understandable explanations to patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ototoxicity and Nephrotoxicity:
Ototoxicity: Aminoglycosides can damage the inner ear structures, leading to hearing loss and balance issues.
Nephrotoxicity: These drugs can harm the kidneys, potentially causing acute kidney injury or chronic kidney disease. Monitoring kidney function is crucial to prevent renal damage.
B. Ototoxicity and Cardiotoxicity:
Ototoxicity: As mentioned above, aminoglycosides can damage the inner ear, affecting hearing and balance.
Cardiotoxicity: Aminoglycosides primarily affect the ears and kidneys; they do not directly target the heart. Cardiotoxicity is not a common side effect associated with aminoglycosides.
C. Hepatotoxicity and Nephrotoxicity:
Hepatotoxicity: This term refers to liver damage caused by drugs or toxins. Aminoglycosides are not known to cause liver problems; their primary concern is kidney damage.
Nephrotoxicity: As mentioned earlier, aminoglycosides can harm the kidneys, which is a well-known side effect.
D. Cardiotoxicity and Hepatotoxicity:
Cardiotoxicity: This term refers to the toxic effects on the heart, leading to various heart-related issues. Aminoglycosides do not primarily affect the heart; their main concerns are the ears (ototoxicity) and kidneys (nephrotoxicity).
Hepatotoxicity: Aminoglycosides are not typically associated with liver damage. They are primarily metabolized and excreted by the kidneys, which is why kidney monitoring is crucial during their use.
Correct Answer is B
Explanation
A. Seizures: Some antibiotics, especially cephalosporins, can lower the seizure threshold, increasing the risk of seizures, especially in individuals prone to seizures or those with a history of epilepsy.
B. Nephrotoxicity: Both cephalosporins and aminoglycosides have the potential to harm the kidneys. When used together, their nephrotoxic effects can be additive, increasing the risk of kidney problems in patients.
C. Hearing Loss: Aminoglycosides, a class of antibiotics that includes drugs like gentamicin, are well-known for their potential to cause hearing loss, especially when used in high doses or for prolonged periods. This effect is due to their toxic impact on the hair cells in the inner ear.
D. Hepatotoxicity: Hepatotoxicity refers to liver damage caused by medications. Some antibiotics, including certain cephalosporins, can have hepatotoxic effects, potentially harming the liver. Monitoring liver function is important when these drugs are used.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.