A 79-year-old patient is receiving a quinolone for treatment of a complicated incision infection.
For which adverse effect associated with these drugs should the nurse monitor?

Double vision

Tendonitis and tendon rupture

Neuralgia

Hypotension

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Double vision is not a common side effect of quinolones. Quinolones are a type of antibiotic that are used to kill or inhibit the growth of bacteria. While they can have side effects, double vision is not typically one of them.

Choice B rationale:

Tendonitis and tendon rupture are known adverse effects of quinolones. These antibiotics can very rarely cause long-lasting, disabling, and potentially irreversible side effects, sometimes affecting multiple systems, organ classes, and senses. One of these side effects is damage to the tendons, which can manifest as tendonitis (inflammation of the tendon) or even tendon rupture. This is particularly a concern for people older than 60 years and for those with renal impairment or solid-organ transplants because they are at a higher risk of tendon injury.

Choice C rationale:

Neuralgia, or nerve pain, is not a common side effect of quinolones. While these antibiotics can affect the nervous system and cause side effects such as peripheral neuropathy and central nervous system effects, neuralgia is not typically reported.

Choice D rationale:

Hypotension, or low blood pressure, is not typically associated with the use of quinolones. These antibiotics can have various side effects, but a significant drop in blood pressure is not commonly reported.

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Correct Answer is C

Explanation

Choice A rationale:

Blood glucose levels are not typically affected by rifampin and pyrazinamide. These medications are primarily used to treat tuberculosis and do not have a direct impact on blood sugar levels.

Choice B rationale:

Thyroid function studies are not usually required when a patient is on rifampin and pyrazinamide. These medications do not typically affect the thyroid gland or its function.

Choice C rationale:

Liver function tests are crucial when a patient is on rifampin and pyrazinamide. Both of these medications can cause liver problems, including hepatitis. Therefore, regular monitoring of liver function is necessary to detect any potential damage early and adjust the treatment plan accordingly.

Choice D rationale:

Gallbladder studies are not typically required for patients on rifampin and pyrazinamide. These medications do not have a known direct impact on the gallbladder.

A. “We’ll get you a prescription. B. As long as you start treatment within the next 24 hours, the drug should be effective.” C. “We will need to do a blood test to verify that you actually have the flu.” D. “Drug therapy should be started within 2 days of symptom onset, not 4 days.”

Correct Answer is C

Explanation

Choice A rationale:

This choice is incorrect. While it’s true that antiviral drugs can be effective in treating the flu, they’re most effective when started within 48 hours of symptom onset. Starting treatment after 4 days may not provide the same benefits.

Choice B rationale:

This choice is incorrect. While a blood test can confirm the presence of the flu virus, it’s not typically necessary to diagnose the flu. Diagnosis is usually based on symptoms and the fact that the flu is widespread in the community.

Choice C rationale:

This choice is correct. Antiviral drugs are most effective when started within 2 days of symptom onset. After this time, the benefits of these drugs decrease. Therefore, starting treatment 4 days after symptoms begin may not significantly reduce the duration or severity of symptoms.

Choice D rationale:

This choice is incorrect. While it’s true that getting a flu vaccine is important, it’s not the best response in this situation. The flu vaccine won’t treat current illness. It’s designed to prevent future infections. In this case, the individual is already sick, so a booster vaccination wouldn’t be the most effective course of action.

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A 79-year-old patient is receiving a quinolone for treatment of a complicated incision infection. For which adverse effect associated with these drugs should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on this medication regimen?

Correct Answer is C

Explanation

A young adult calls the clinic to ask for a prescription for a new flu drug. He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms. What is the nurse’s best response to his request?

Correct Answer is C

Explanation

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A 79-year-old patient is receiving a quinolone for treatment of a complicated incision infection.
For which adverse effect associated with these drugs should the nurse monitor?