The nurse is caring for a patient who is prescribed azithromycin for a respiratory infection.
The nurse should assess the patient's medical history for any past or current conditions related to:
Prolonged QT interval.
Constipation.
Tachycardia.
Hyperkalemia.
The Correct Answer is A
Choice A rationale
Azithromycin can prolong the QT interval, leading to potential cardiac arrhythmias. Patients with a history of prolonged QT interval or other heart conditions should be monitored closely.
Choice B rationale
Constipation is not commonly associated with azithromycin use. Gastrointestinal side effects may include diarrhea or nausea but not constipation.
Choice C rationale
While tachycardia can be a side effect of some medications, azithromycin is more commonly associated with QT prolongation rather than causing increased heart rate directly.
Choice D rationale
Hyperkalemia is not typically a concern with azithromycin. Electrolyte imbalances are not a common side effect of this antibiotic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Prazosin, an alpha-blocker, is often started at the lowest dose and taken at night to minimize the risk of orthostatic hypotension, a sudden drop in blood pressure upon standing.
Choice B rationale
Starting prazosin at the highest dose is not recommended due to the risk of severe orthostatic hypotension, which can lead to dizziness and fainting.
Choice C rationale
It is important to monitor blood pressure with the first dose of prazosin to assess the patient's response and avoid significant drops in blood pressure.
Choice D rationale
Prazosin may take several weeks to achieve full therapeutic effect. It does not control hypertension within a week.
Correct Answer is A
Explanation
Choice A rationale
Beclomethasone (QVAR) is an inhaled corticosteroid used for long-term prophylaxis of asthma. It works by reducing inflammation in the airways, preventing asthma attacks and improving lung function.
Choice B rationale
Metoprolol is a beta-adrenergic blocker used for treating hypertension and certain heart conditions. It is not used for asthma management.
Choice C rationale
Phenytoin is an antiepileptic medication used to control seizures. It does not have a role in asthma management.
Choice D rationale
Furosemide is a loop diuretic used to treat conditions like edema and hypertension by promoting the excretion of excess fluid. It is not indicated for asthma management.
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