A patient is prescribed erythromycin for an infection.
What medication should the nurse instruct the patient to avoid while on erythromycin?
Ibuprofen
Diphenhydramine
Loratadine
Acetaminophen.
The Correct Answer is C
Choice A rationale
Ibuprofen does not have a significant interaction with erythromycin18.
Choice B rationale
Diphenhydramine does not have a significant interaction with erythromycin18.
Choice C rationale
Loratadine should be avoided while on erythromycin. Erythromycin can increase the concentration of loratadine, which can lead to an increased risk of side effects, including heart rhythm abnormalities18.
Choice D rationale
Acetaminophen does not have a significant interaction with erythromycin18. Nystatin Nystatin Explore
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While notifying the healthcare provider is an important step when an IV has infiltrated, it is not the immediate priority action.
Choice B rationale
Adding promethazine to the allergy list would not be appropriate unless the patient had an allergic reaction to the medication.
Choice C rationale
Continuing to monitor the site would not be the immediate priority action. The nurse should first stop the IV infusion to prevent further damage.
Choice D rationale
The nurse’s priority action should be to stop the IV infusion. This prevents further infiltration and potential tissue damage. After stopping the infusion, the nurse can then take further steps such as notifying the healthcare provider and assessing the patient’s condition.
Correct Answer is B
Explanation
Choice A rationale
Peripheral edema is not a common side effect of stopping steroids early. Peripheral edema is often associated with conditions such as heart failure, liver disease, or kidney disease.
Choice B rationale
Low blood pressure is a common side effect when a person stops taking steroids like prednisone abruptly. Prednisone is a glucocorticoid, a type of steroid that works to mimic the effects of cortisol, a hormone that the adrenal glands produce. The body uses cortisol to regulate the heart rate and blood pressure. When a person takes prednisone for longer than a few weeks, the body reduces the amount of cortisol it makes. When a person suddenly stops taking prednisone, the body cannot immediately produce enough cortisol to make up for the missing drug. This results in withdrawal symptoms, including low blood pressure.
Choice C rationale
Hyperglycemia, or high blood sugar, is not typically a withdrawal symptom of stopping steroids early. While long-term use of steroids can lead to increased blood sugar levels, stopping the medication does not typically cause hyperglycemia.
Choice D rationale
Weight loss can be a symptom of steroid withdrawal, but it is not the most immediate or common symptom that would be anticipated in a client who stopped taking their prescribed steroids early. More common symptoms include fatigue, joint pain, and low blood pressure.
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