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
Ergotamine does not increase hypoperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice B rationale
Ergotamine does not decrease hypoperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice C rationale
Ergotamine does not increase hyperperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice D rationale
Ergotamine decreases hyperperfusion by constricting blood vessels in the basilar artery vascular bed, reducing the blood flow to relieve migraine headaches. .
Correct Answer is A
Explanation
Step 1 is (120 mL ÷ 60 min) × 15 gtt/mL.
Step 2 is (2 mL/min) × 15 gtt/mL.
Step 3 is 30 gtt/min.
Final calculated answer is 30 gtt/min.
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