The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection.
The patient is also taking acetaminophen for pain.
The nurse should expect to review which lab value when monitoring for this drug side effect?
Complete blood count.
Urinalysis.
Electrolytes.
Liver enzymes.
The Correct Answer is D
Choice A rationale
While a complete blood count (CBC) is an essential lab value for monitoring many conditions and potential side effects, it is not the primary concern when administering high doses of azithromycin, especially with co-administration of acetaminophen. The focus should be on liver function.
Choice B rationale
Urinalysis is useful in diagnosing and monitoring various conditions but is not directly relevant to monitoring the side effects of azithromycin and acetaminophen. These medications do not typically cause urinary abnormalities that would necessitate frequent urinalysis.
Choice C rationale
Electrolytes are not directly affected by azithromycin and acetaminophen use. Although monitoring electrolytes can be essential in broader contexts, these specific medications do not primarily impact electrolyte balance requiring focused monitoring.
Choice D rationale
Liver enzymes are the key lab values to monitor when administering high doses of azithromycin and acetaminophen. Both medications are metabolized by the liver and can cause hepatotoxicity. Monitoring liver enzymes helps in detecting early signs of liver damage and preventing further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Ataxia is less commonly associated with opioids than other adverse effects.
Choice B rationale
Dysrhythmias are not typically associated with opioids.
Choice C rationale
Blurred vision isn't a major adverse effect of opioids.
Choice D rationale
Hypotension is a common adverse effect of opioid use and must be monitored.
Correct Answer is A
Explanation
Choice A rationale
Treatment of narcotic dependence involves using a narcotics antagonist to block the effects of narcotics. This helps prevent relapse in patients recovering from narcotic addiction by decreasing cravings and withdrawal symptoms.
Choice B rationale
Treatment of alcohol dependence does not typically involve narcotics antagonists. Instead, medications like disulfiram or naltrexone are used to manage alcohol dependence.
Choice C rationale
Reversal of tachycardia is not an indication for a narcotics antagonist. Tachycardia is usually managed with medications like beta-blockers or calcium channel blockers.
Choice D rationale
Reversal of bronchoconstriction is not an indicator for narcotics antagonists. Bronchoconstriction is usually treated with bronchodilators such as albuterol or ipratropium.
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