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 ["B","C"]
Explanation
Choice A rationale
Taking one dose immediately and continuing the regular schedule might not provide sufficient contraceptive protection after missing three days.
Choice B rationale
Using an alternative form of contraception for 7 days is appropriate to ensure continued contraceptive protection after missing doses.
Choice C rationale
Taking two doses over the next two days can help catch up, but using an additional form of contraception for 7 days is also recommended to ensure protection.
Choice D rationale
Continuing the medication as prescribed without any additional precautions could result in ineffective contraception due to the missed doses.
Correct Answer is B
Explanation
Choice A rationale
While metformin is commonly used as a first-line medication for type 2 diabetes, this choice does not specifically address a critical safety concern related to metformin.
Choice B rationale
Metformin can interact with contrast dyes used in imaging studies, increasing the risk of acute renal failure due to lactic acidosis. Patients need to be aware of this interaction to avoid potential complications.
Choice C rationale
Metformin is used to lower blood glucose levels, not increase them. This choice is incorrect.
Choice D rationale
While metformin is associated with less weight gain compared to other diabetes medications, this choice does not address the critical interaction with contrast dye.
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