A patient with a peptic ulcer disease has had metronidazole (Flagyl) added to his current medication regimen. What health education related to this medication should the nurse provide?
Take the medication on an empty stomach.
Take at bedtime to mitigate the effects of drowsiness.
Take up to one extra dose per day if stomach pain persists.
Avoid drinking alcohol while taking the drug.
The Correct Answer is D
Choice A reason:
Taking metronidazole with food can help reduce stomach upset. It is not typically recommended to take on an entirely empty stomach.
Choice B reason:
Metronidazole can cause drowsiness, but taking it at bedtime specifically for this reason is not a standard recommendation. It's more important to focus on avoiding alcohol.
Choice C reason:
Taking an extra dose without specific medical advice is not recommended. It's important to follow the prescribed dosing regimen.
Choice D reason:
Avoiding alcohol while taking metronidazole is crucial. The combination of metronidazole and alcohol can cause severe reactions, including nausea, vomiting, abdominal cramps, headache, and flushing. This interaction can occur for several days after discontinuing metronidazole, so it's essential to abstain from alcohol throughout the course of treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
While assessing the client's level of consciousness is important, it is not the priority after an EGD procedure. Ensuring the client's airway and protective reflexes is more crucial.
Choice B reason:
This is the correct answer. After an EGD, the client may have residual effects from sedation. Assessing the gag reflex helps ensure that the client's airway is protected.
Choice C reason:
Nausea is a common side effect after an EGD, but it is not the priority assessment. Ensuring the client's airway and safety come first.
Choice D reason:
Assessing pain is important for the client's comfort, but it is not the priority assessment after an EGD. Ensuring the client's airway and protective reflexes is more crucial.
Correct Answer is C
Explanation
Choice A reason:
A shiny, moist stoma is generally a healthy sign, indicating good blood supply and adequate hydration of the stoma tissue. It is not a cause for concern.
Choice B reason:
A rosebud-like stoma orifice is a normal appearance for some types of stomas. It indicates a healthy stoma with good blood supply. This finding is expected and does not warrant concern.
Choice C reason:
A purplish-colored stoma may indicate compromised blood supply to the stoma, which is a serious concern and should be reported to the provider promptly. It may suggest inadequate blood flow to the stoma, which could lead to tissue necrosis.
Choice D reason:
Stoma oozing red drainage may be normal immediately postoperatively. It can be due to some oozing from the surgical site, and if it's minimal and stops after a short while, it's generally not a cause for concern.
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