Azithromycin is prescribed for a client with Chlamydia trachomatis. In providing client teaching about the medication, the nurse should emphasize the importance of reporting the onset of which symptom to the health care provider?

Flatulence and nausea.

Urinary frequency.

Yellow sclera.

Headache.

Answer and Explanation

The Correct Answer is C

Choice A reason: Flatulence and nausea are common side effects of azithromycin, which is a macrolide antibiotic that inhibits bacterial protein synthesis. These symptoms are usually mild and transient, and do not require reporting to the health care provider unless they are severe or persistent.

Choice B reason: Urinary frequency is not a relevant symptom of azithromycin, which does not affect urinary function or bladder control. Urinary frequency may be caused by other factors, such as infection, diabetes, or pregnancy.

Choice C reason: Yellow sclera is a serious symptom of azithromycin, which indicates liver damage or jaundice. Azithromycin can cause hepatotoxicity, which is a rare but potentially fatal adverse reaction. Yellow sclera should be reported to the health care provider immediately, as it may require discontinuation of the medication and liver function tests.

Choice D reason: Headache is a common side effect of azithromycin, which is a macrolide antibiotic that inhibits bacterial protein synthesis. This symptom is usually mild and transient, and does not require reporting to the health care provider unless it is severe or persistent.

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Correct Answer is B

Explanation

Choice A reason: Increased anxiety and nervousness have been reported by some people taking feverfew, but this is not a common or serious side effect. It may be related to individual sensitivity or dosage.

Choice B reason: Feverfew may interact with aspirin or non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, which are commonly used for pain relief. Feverfew and these drugs can both inhibit platelet aggregation and increase the risk of bleeding. This information is most important for the nurse to include in a teaching plan for this client, especially if they are taking any of these medications or have a history of bleeding disorders.

Choice C reason: Those with allergies to chamomile, ragweed, or yarrow should not take feverfew, because they may have a cross-reactivity and experience an allergic reaction to feverfew. This information is important for the nurse to include in a teaching plan for this client, but it is not as critical as choice B.

Choice D reason: Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew, but these are usually mild and transient side effects that do not require medical attention. They may be reduced by taking feverfew with food or water.

A. Print an electrocardiogram strip B. Provide rescue breaths with a manual ventilation bag C. Give naloxone 2 mg intravenously D. Apply oxygen via nasal cannula E. Perform chest compressions F. Call for rapid response

Correct Answer is ["B","C","F"]

Explanation

Choice A: Printing an electrocardiogram strip is not a priority in this situation. The client is not responsive and has a low respiratory rate, which indicates a possible overdose of morphine. The nurse should focus on reversing the effects of the opioid and maintaining the client's airway and circulation.

Choice B: Providing rescue breaths with a manual ventilation bag is a correct and urgent action. It can supply oxygen to the client until naloxone takes effect and restore normal breathing.

Choice C: Giving naloxone 2 mg intravenously is a correct and urgent action. Naloxone is an opioid antagonist that can block the effects of morphine and reverse respiratory depression.

Choice D: This can help increase the patient’s oxygen levels, which may be low due to the decreased respiratory rate.

Choice E: Performing chest compressions is not a correct or urgent action. It is only indicated if the client has no pulse or signs of life. It can also cause harm if the client has a heartbeat.

Choice F: Calling for rapid response is a correct and urgent action. Rapid response is a team of health care professionals that can assist in emergency situations and provide advanced care.

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Azithromycin is prescribed for a client with Chlamydia trachomatis. In providing client teaching about the medication, the nurse should emphasize the importance of reporting the onset of which symptom to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Correct Answer is B

Explanation

Patient Data Exhibits What should the nurse do immediately? Select all that apply.

Correct Answer is ["B","C","F"]

Explanation

A client with bipolar disorder admitted with severe depression and suicidal ideation receives a prescription for lithium carbonate. Which instruction should the nurse provide to the client?

A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid?

Which assessment finding requires nursing intervention prior to the administration of a prescribed dose of digoxin to an adult?

Azithromycin is prescribed for a client with Chlamydia trachomatis. In providing client teaching about the medication, the nurse should emphasize the importance of reporting the onset of which symptom to the health care provider?

Patient Data Exhibits What other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?