The nurse is providing discharge teaching for a patient who will be taking oral linezolid (Zyvox) to treat a complicated skin infection caused by vancomycin-resistant enterococci (VRE).
Which statement by the patient indicates a need for further teaching?
“I will report any changes in my vision to my doctor.”
“I will avoid eating foods that contain tyramine.”
“I will take this medication on an empty stomach.”
“I will continue to take this medication until I feel better."
The Correct Answer is D
This statement indicates a need for further teaching because linezolid should be taken for the full prescribed course of treatment, even if the symptoms improve or resolve. Stopping the medication too soon can lead to bacterial resistance or recurrence of the infection.
Choice A is wrong because it is a correct statement. Linezolid can cause optic neuropathy or vision changes, so patients should report any changes in their vision to their doctor.
Choice B is wrong because it is a correct statement.
Linezolid can interact with foods that contain tyramine, such as cheese and red wine, and cause a hypertensive crisis. Patients should avoid eating foods that contain tyramine while taking linezolid and for two weeks after stopping the medication.
Choice C is wrong because it is a correct statement. Linezolid can be taken with or without food, but taking it on an empty stomach may help with absorption and effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A Mazzotti reaction is a severe inflammatory response that can occur after taking ivermectin for onchocerciasis (river blindness), a parasitic infection caused by Onchocerca volvulus.The reaction is due to the death of the microfilariae (larvae) of the parasite and can cause fever, rash, itching, joint pain, swollen lymph nodes, and eye inflammation.
Choice A is wrong because hypertension is not a common adverse effect of ivermectin.Hypotension, however, can occur in some cases.
Choice B is wrong because tinnitus is not a common adverse effect of ivermectin.Tinnitus is a ringing or buzzing sound in the ears that can be caused by various factors, such as exposure to loud noise, ear infections, or certain medications.
Choice D is wrong because Stevens-Johnson syndrome is not a common adverse effect of ivermectin.
Stevens-Johnson syndrome is a rare but serious skin reaction that can be triggered by infections or medications.
It causes blisters and peeling of the skin and mucous membranes.
Correct Answer is ["B","C","D"]
Explanation
Choice A is wrong because azithromycin (Zithromax) should be takenwith foodto prevent stomach upset.
Choice B is correct because azithromycin can causeliver damageand the client should report any signs ofjaundiceordark urineas they may indicate liver problems.
Choice C is correct because azithromycin can interact withgrapefruit juiceand increase the risk ofside effectssuch as nausea, vomiting, diarrhea, headache and QT interval prolongation.
Choice D is correct because the client shouldcomplete the full course of therapyas prescribed to prevent bacterial resistance and recurrence of infection.
Choice E is wrong because azithromycin should be stored in arefrigeratorand discarded after 10 days if it is in a liquid form.
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