A client diagnosed with trichomoniasis is prescribed metronidazole. The nurse should instruct the client to avoid which contraindication associated with this medication?

Alcohol consumption

Tyramine based foods

Apple Juice

Soy beans

Answer and Explanation

The Correct Answer is A

A. Alcohol consumption: Metronidazole has a disulfiram-like reaction with alcohol, which can cause severe nausea, vomiting, flushing, and tachycardia. Clients should avoid alcohol during and for at least 48 hours after the completion of metronidazole therapy.

B. Tyramine-based foods: Avoiding tyramine-rich foods is important with certain MAOIs due to the risk of hypertensive crisis, not with metronidazole.

C. Apple Juice: There is no significant interaction between metronidazole and apple juice.

D. Soy beans: Soybeans do not have an interaction with metronidazole.

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Correct Answer is B

Explanation

A. Staining of teeth: Rifampin is not known to stain teeth.

B. Orange colored secretions: Rifampin commonly causes orange discoloration of body fluids, including urine, tears, and sweat. This is harmless but can be alarming if the client is not forewarned.

C. Constipation: Constipation is not a typical side effect of rifampin.

D. White-colored stools: Rifampin does not cause white-colored stools, but bile duct obstruction could.

A. Macrolides B. Antiretrovirals C. Antimalarials D. Cephalosporins

Correct Answer is D

Explanation

A. Macrolides: Macrolides, such as azithromycin or erythromycin, are often used as alternatives in clients with a penicillin allergy, as they do not have a beta-lactam ring and generally do not cause cross-reactivity.

B. Antiretrovirals: Antiretrovirals are used for treating HIV/AIDS and are unrelated to penicillin antibiotics, with no cross-sensitivity concerns.

C. Antimalarials: Antimalarial drugs are used to treat malaria and are not related to penicillin antibiotics, so they would not be a concern for cross-sensitivity.

D. Cephalosporins: Cephalosporins have a beta-lactam structure similar to penicillins, which can sometimes cause cross-reactivity in clients with a penicillin allergy. However, the risk is lower with newer generations.

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A client diagnosed with trichomoniasis is prescribed metronidazole. The nurse should instruct the client to avoid which contraindication associated with this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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