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 ["A","B","C"]
Explanation
Oxacillin, erythromycin and clindamycin are all antibiotics that are sensitive to Staphylococcus aureus according to the culture and sensitivity report.
This means that they can inhibit or kill the bacteria that are causing the wound infection.These antibiotics belong to different classes of drugs that have different mechanisms of action and spectrum of activity.
Choice D and E are wrong because vancomycin and linezolid are antibiotics that are usually reserved for more resistant strains of Staphylococcus aureus, such as methicillin-resistant Staphylococcus aureus (MRSA) or
Correct Answer is A
Explanation
The nurse should instruct the client about this possibility and reassure them that it is harmless and will disappear when the medication is discontinued.
Choice B is wrong because metallic taste in mouth is not a side effect of rifampin, but of metronidazole, an antibiotic used to treat infections caused by anaerobic bacteria or protozoa.
Choice C is wrong because photosensitivity reaction is not a side effect of rifampin, but of tetracycline, an antibiotic used to treat acne and other infections.
Choice D is wrong because ototoxicity is not a side effect of rifampin, but of aminoglycosides, a class of antibiotics used to treat serious infections caused by gram-negative bacteria.
Ototoxicity can cause hearing loss or balance problems.
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