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 B
Explanation
Choice A rationale
Thiazide diuretics do not block the sodium pump. They act primarily on the distal convoluted tubule in the kidneys.
Choice B rationale
Thiazide diuretics block the chloride pump in the distal convoluted tubule, preventing the reabsorption of sodium and chloride, leading to increased urine output and decreased blood pressure.
Choice C rationale
Thiazide diuretics do not block the carbonic anhydrase pump. This action is associated with carbonic anhydrase inhibitors.
Choice D rationale
Thiazide diuretics do not block the potassium pump. They can cause potassium loss as a side effect, but this is not their primary mechanism of action.
Correct Answer is C
Explanation
Choice A rationale
Anticholinergic drugs do not cause pupil restriction; they relax the muscles around the eye, leading to dilation.
Choice B rationale
Decreased lacrimal secretions are a secondary effect of anticholinergics and not their primary purpose in ophthalmology.
Choice C rationale
Anticholinergics cause pupil dilation (mydriasis) by relaxing the muscles that constrict the pupil, allowing for a better examination of the eye's interior.
Choice D rationale
Sedation is not a primary effect of anticholinergics used in ophthalmology.
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