A patient has been prescribed azithromycin, a macrolide antibiotic, for a respiratory infection.
The nurse should instruct the patient to report which of the following signs or symptoms of a potential adverse effect?

Diarrhea

Headache

Chest pain

Nausea.

Answer and Explanation

The Correct Answer is C

Azithromycin is a macrolide antibiotic that can cause a rare but serious side effect called QT prolongation, which affects the electrical activity of the heart and can lead to irregular heartbeats, chest pain, and sudden cardiac death. The patient should report any signs of chest pain or palpitations to the doctor immediately.

Choice A is wrong because diarrhea is a common side effect of azithromycin that usually does not require medical attention unless it is severe or bloody.

Choice B is wrong because headache is also a common side effect of azithromycin that usually does not require medical attention unless it is severe or persistent.

Choice D is wrong because nausea is another common side effect of azithromycin that usually does not require medical attention unless it is severe or accompanied by vomiting.

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Correct Answer is D

Explanation

This statement indicates a need for further teaching because linezolid should be taken for the full prescribed course of treatment, even if the symptoms improve or resolve.Stopping the medication too soon can lead to bacterial resistance or recurrence of the infection.

Choice A is wrong because it is a correct statement.Linezolid can cause optic neuropathy or vision changes, so patients should report any changes in their vision to their doctor.

Choice B is wrong because it is a correct statement.

Linezolid can interact with foods that contain tyramine, such as cheese and red wine, and cause a hypertensive crisis.Patients should avoid eating foods that contain tyramine while taking linezolid and for two weeks after stopping the medication.

Choice C is wrong because it is a correct statement.Linezolid can be taken with or without food, but taking it on an empty stomach may help with absorption and effectiveness.

A. Jaundice B. Vision changes C. Hearing loss D. Orange-colored urine E. Numbness in the hands or feet.

Correct Answer is ["A","B","E"]

Explanation

Jaundice, vision changes and numbness in the hands or feet are possible adverse effects of the drugs used to treat tuberculosis.The nurse should instruct the client to report these signs or symptoms as they may indicate liver damage, optic neuritis or peripheral neuropathy respectively.

Choice C is wrong because hearing loss is not a common side effect of these drugs.Hearing loss may be caused by other drugs such as aminoglycosides.

Choice D is wrong because orange-colored urine is a harmless side effect of rifampin and does not need to be reported.

The nurse should inform the client about this expected change and reassure them that it is not harmful.

The normal ranges for liver function tests are:

• AST: 10-40 U/L

• ALT: 7-56 U/L

• ALP: 45-115 U/L

• Bilirubin: 0.1-1.2 mg/dL

The normal range for visual acuity is 20/20.

The normal range for sensation is intact and symmetrical in all extremities.

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A patient has been prescribed azithromycin, a macrolide antibiotic, for a respiratory infection. The nurse should instruct the patient to report which of the following signs or symptoms of a potential adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge teaching for a patient who will be taking oral linezolid (Zyvox) to treat a complicated skin infection caused by vancomycin-resistant enterococci (VRE). Which statement by the patient indicates a need for further teaching?

Correct Answer is D

Explanation

A nurse is teaching a client who has tuberculosis about the prescribed drug regimen, which includes isoniazid, rifampin, pyrazinamide, and ethambutol. The nurse should instruct the client to report which signs or symptoms as possible adverse effects of these drugs? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection. The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

A nurse is reviewing laboratory results for a client who has a fungal infection and is receiving itraconazole therapy. Which of the following findings should alert the nurse to a potential adverse effect of this medication?

A nurse is preparing to administer ceftriaxone (Rocephin) to a client who has pneumonia caused by Streptococcus pneumoniae. The nurse should recognize that ceftriaxone belongs to which generation of cephalosporins?

A nurse is teaching a client who has been prescribed tetracycline, a tetracycline antibiotic, for acne vulgaris. Which of these instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who has a severe infection and is receiving vancomycin (Vancocin). The nurse should monitor the client for which of the following manifestations of ototoxicity?

Which antibiotics are classified as concentration-dependent antimicrobials?

A nurse is caring for a client who has tuberculosis and is prescribed rifampin, an antitubercular drug. The nurse should instruct the client about which potential side effect of rifampin?

The nurse identifies which host factor as the most important when choosing an antimicrobial drug?

A patient has been prescribed azithromycin, a macrolide antibiotic, for a respiratory infection.
The nurse should instruct the patient to report which of the following signs or symptoms of a potential adverse effect?