A patient with tuberculosis returns to the clinic for daily antibiotic injections for a urinary infection.
The patient has been taking antitubercular medications for 10 weeks and reports ringing in the ears.
Which prescribed medication should the practical nurse (PN) report to the healthcare provider?ider?
Pyridoxine with a B complex multivitamin by mouth (PO) daily.
Rifampin 600 mg by mouth (PO) daily.
Gentamicin 160 mg intramuscular (IM) daily.
Isoniazid 300 mg by mouth (PO) daily.
The Correct Answer is C
Choice A rationale
Pyridoxine with a B complex multivitamin is not typically associated with ototoxicity (ringing
in the ears)7.
Choice B rationale
Rifampin is an antitubercular medication, but it is not commonly associated with ototoxicity.
Choice C rationale
Gentamicin is an antibiotic that is known to potentially cause ototoxicity, including ringing in
the ears. Therefore, if a patient who has been receiving gentamicin reports ringing in the ears,
this should be reported to the healthcare provider.
Choice D rationale
Isoniazid is an antitubercular medication, but it is not commonly associated with ototoxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Montelukast does not increase the production of mucus in the lungs. In fact, it helps to reduce inflammation and may be used to prevent asthma attacks.
Choice B rationale
Montelukast is a leukotriene modifier that helps to reduce inflammation and prevent asthma attacks and exercise-induced bronchoconstriction. It works by blocking the action of leukotriene D4 in the lungs resulting in decreased inflammation and relaxation of smooth muscle. This prophylactic limitation of the inflammatory response to allergens is a key function of montelukast.
Choice C rationale
Montelukast does not contract the smooth muscles located in the respiratory tract. Instead, it helps to relax the smooth muscles in the lungs, reducing inflammation and making it easier to breathe.
Choice D rationale
Montelukast does not directly repair damaged tissue in the base of the lungs. Its primary function is to prevent and manage symptoms of asthma and allergies by reducing inflammation in the airways.
Correct Answer is A
Explanation
Choice A rationale
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and reduce
inflammation. It is not typically part of the H. pylori treatment regimen.
Choice B rationale
Famotidine is a type of medication called a proton pump inhibitor (PPI). PPIs are often used in
the treatment of H. pylori because they reduce the production of stomach acid, which makes
the environment more conducive for antibiotics to work.
Choice C rationale
Loperamide is a medication used to treat diarrhea. It is not typically part of the H. pylori
treatment regimen.
Choice D rationale
Ipratropium is a medication used to treat bronchospasm associated with COPD and is not
related to H. pylori treatment.
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