A patient undergoing penicillin therapy shows improvement and states that he is feeling better.
Which of the following interventions is the nurse most likely to perform in such a situation?

Instruct patient to increase dietary intake.

Inform the primary health provider immediately.

Record assessments on the patient's chart.

Inquire about any previous drug allergies.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Instructing the patient to increase dietary intake is not the most likely intervention when a patient shows improvement with penicillin therapy. Dietary advice would be more relevant if the patient was experiencing gastrointestinal side effects or had specific nutritional needs due to their condition or treatment.

Choice B rationale:

Informing the primary health provider immediately is not typically necessary when a patient shows improvement with penicillin therapy. It's crucial to continue monitoring the patient's progress, but this choice suggests an unnecessary action.

Choice C rationale:

This is the correct answer. When a patient undergoing penicillin therapy shows improvement, the nurse should record assessments and observations on the patient's chart. This helps track the patient's progress and ensures that the healthcare team has up-to-date information about the patient's condition.

Choice D rationale:

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Correct Answer is A

Explanation

Choice A rationale: Tetracycline can increase the levels of digoxin (Lanoxin) in the blood, leading to an increased risk of digoxin toxicity. This interaction occurs because tetracycline can interfere with the metabolism and excretion of digoxin, causing higher concentrations of the drug in the bloodstream1. Symptoms of digoxin toxicity include nausea, vomiting, dizziness, and cardiac arrhythmias. Therefore, patients taking both medications should be closely monitored for signs of toxicity and may require dosage adjustments.

Choice B rationale: Phenytoin (Dilantin) does not have a significant interaction with tetracycline that increases the risk of toxicity. While both medications can be used together, they do not significantly affect each other's metabolism or excretion1.

Choice C rationale: Vancomycin (Vancocin) does not have a significant interaction with tetracycline that increases the risk of toxicity. Both medications can be used together without causing significant changes in their metabolism or excretion1.

Choice D rationale: Carbamazepine (Tegretol) does not have a significant interaction with tetracycline that increases the risk of toxicity. While both medications can be used together, they do not significantly affect each other's metabolism or excretion

A. Nonprotease inhibitors. B. Nonnucleoside reverse transcriptase inhibitors. C. Entry inhibitors. D. Integrase inhibitors.

Correct Answer is D

Explanation

Choice A rationale:

Nonprotease inhibitors are not typically a part of HAART (Highly Active Antiretroviral Therapy). Protease inhibitors are used to inhibit HIV replication.

Choice B rationale:

Nonnucleoside reverse transcriptase inhibitors (NNRTIs) are often used in HAART, but they are not the primary agents responsible for inhibiting the integration of the viral genome into the host cell's DNA. NNRTIs target the reverse transcriptase enzyme.

Choice C rationale:

Entry inhibitors are another class of antiretroviral drugs, but they work by blocking the entry of the virus into host cells, not by inhibiting integration. They are used in combination with other drugs in specific cases.

Choice D rationale:

Integrase inhibitors are a class of antiretroviral drugs that specifically target the enzyme integrase, which is responsible for integrating the viral genome into the host cell's DNA. This choice is correct because integrase inhibitors are a crucial component of HAART and help prevent the virus from replicating in the host's cells.

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A patient undergoing penicillin therapy shows improvement and states that he is feeling better.Which of the following interventions is the nurse most likely to perform in such a situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is prescribed tetracycline. The nurse would be alert for an increased risk of toxicity if the client is taking which of the following?

Correct Answer is A

Explanation

A nurse is providing care to a client receiving highly active antiretroviral therapy (HAART). The nurse would expect the client to receive which of the following antiretroviral agents?

Correct Answer is D

Explanation

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A patient undergoing penicillin therapy shows improvement and states that he is feeling better.
Which of the following interventions is the nurse most likely to perform in such a situation?