Which class of antibiotic is associated with cartilage toxicity and rupture of the Achilles tendon?

Penicillins

Fluoroquinolones

Aminoglycosides

Sulfonamides

Answer and Explanation

The Correct Answer is B

A. Penicillins:

Penicillins are a class of antibiotics commonly used to treat various bacterial infections. While they are generally well-tolerated and have a low incidence of adverse effects, they are not typically associated with cartilage toxicity or tendon rupture, including the Achilles tendon.

B. Fluoroquinolones:

Fluoroquinolones are broad-spectrum antibiotics known for their effectiveness against a wide range of bacteria. However, they are associated with several significant adverse effects, including cartilage toxicity and tendon rupture. These adverse effects, particularly tendon rupture, are most commonly observed in weight-bearing tendons such as the Achilles tendon. Fluoroquinolones should be used cautiously, especially in populations at higher risk for tendon injuries.

C. Aminoglycosides:

Aminoglycosides are another class of antibiotics used to treat severe bacterial infections. While they have their own set of potential adverse effects, such as nephrotoxicity and ototoxicity, they are not associated with cartilage toxicity or tendon rupture.

D. Sulfonamides:

Sulfonamides are antibiotics that inhibit bacterial growth by interfering with the synthesis of folate. While they can cause various adverse effects, including skin reactions and hematologic abnormalities, they are not associated with cartilage toxicity or tendon rupture.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A.Green leafy vegetables:

There is no specific recommendation to avoid green leafy vegetables while taking tetracycline. However, it’s generally advisable to take tetracycline on an empty stomach, as certain foods and supplements containing calcium, magnesium, aluminum, iron, or zinc can interfere with the absorption of tetracycline if consumed concurrently. Green leafy vegetables are not typically high in these minerals, so there is no need to avoid them specifically.

B. Sunlight:

Tetracycline antibiotics, including Sumycin, can increase the skin’s sensitivity to sunlight and UV radiation, leading to an increased risk of sunburn and photosensitivity reactions. Therefore, clients taking tetracycline should be advised to minimize sun exposure, wear protective clothing, and use sunscreen with a high sun protection factor (SPF) to reduce the risk of sunburn and skin damage.

C. Exercise:

There is no specific contraindication to exercise while taking tetracycline. In fact, regular exercise can promote overall health and well-being. However, it’s essential for clients to listen to their bodies and avoid strenuous exercise if they experience any adverse effects or symptoms while taking tetracycline or any other medication.

D. Foods high in tyramine:

Tetracycline antibiotics do not interact with tyramine-containing foods in the same way as certain other classes of antibiotics, such as monoamine oxidase inhibitors (MAOIs). Therefore, there is no specific need to avoid foods high in tyramine while taking tetracycline, as tyramine-related interactions are not typically associated with tetracycline use.

A. 36 months B. 6-12 months C. 2-4 weeks D. 7-10 days

Correct Answer is B

Explanation

A. 36 months:

This duration is longer than typical treatment courses for TB. While treatment for drug-resistant TB may require an extended duration, standard treatment for drug-sensitive TB typically lasts for a shorter period.

B. 6-12 months:

This duration is within the typical range for the treatment of drug-sensitive TB. Standard treatment regimens for drug-sensitive TB usually involve a combination of multiple antibiotics taken for 6 to 9 months, sometimes extending up to 12 months depending on factors such as the severity of the disease and the patient's response to treatment.

C. 2-4 weeks:

This duration is too short for the treatment of TB. TB treatment requires a prolonged course of antibiotics to ensure the complete eradication of the bacteria and to prevent the development of drug resistance.

D. 7-10 days:

This duration is too short for the treatment of TB. TB treatment typically lasts for several months rather than days, as it involves a combination of antibiotics taken for an extended period to effectively treat the infection.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which class of antibiotic is associated with cartilage toxicity and rupture of the Achilles tendon?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a client who has been prescribed tetracycline (Sumycin). What should the nurse advise this client to avoid while taking this medication?

Correct Answer is B

Explanation

A client has been diagnosed with tuberculosis. How long does the nurse anticipate this client will require treatment?

Correct Answer is B

Explanation

Which of the following is the goal of monitoring peak and trough levels during antibacterial therapy?

A nurse is reinforcing teaching with a client who has frequent urinary tract infections (UTIs). The nurse should identify that the client can use which of the following herbal supplements to help prevent UTIs?

A client enters the emergency department with suspected exposure to anthrax. The physician confirms this suspicion and orders the client an antibiotic. Which medication would the nurse expect the physician to order?

The nurse understands that CAM therapies have common characteristics, such as which of the following? (Select All that Apply)

A nurse is reinforcing teaching about vancomycin with a client who has an infection. Which of the following information should the nurse include in the teaching?

The nurse is caring for a client receiving gentamycin IV. Which of the following adverse effects would the nurse report to the physician immediately?

Which of the following is a legal requirement contained in the DSHEA?