A nurse is administering tetracycline, a broad-spectrum antibiotic, to a patient who has acne vulgaris.
The nurse should monitor the patient for which of the following adverse effects of this medication? (Select all that apply.)
Photosensitivity
Tooth discoloration
Hepatic impairment
Superinfection
Bone marrow suppression.
Correct Answer : A,D
Tetracycline can cause photosensitivity, which means increased sensitivity to sunlight and risk of sunburn. It can also cause superinfection, which means overgrowth of resistant bacteria or fungi in the mouth, intestines, or vagina.
Choice B is wrong because tetracycline can cause tooth discoloration in children under 8 years old, not in adults.
Choice C is wrong because tetracycline can cause hepatic impairment only in patients with preexisting liver disease or who take high doses for a long time.
Choice E is wrong because tetracycline can cause bone marrow suppression only in patients with preexisting blood disorders or who take high doses for a long time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Maraviroc is aCCR5 coreceptor antagonistthat blocks the receptor site the HIV virus needs to interact with in order to enter the cell.It prevents viral fusion with host cell membrane by binding to the CCR5 receptor on CD4+ T cells and macrophages.
Choice B is wrong becauseAbacavir is wrong because it is anucleoside reverse transcriptase inhibitor (NRTI)that inhibits the enzyme reverse transcriptase, which converts viral RNA into DNA.
It does not prevent viral fusion with host cell membrane.
Choice C is wrong becauseDarunavir is wrong because it is aprotease inhibitor (PI)that inhibits the enzyme protease, which cleaves viral proteins into functional units.
It does not prevent viral fusion with host cell membrane.
Choice D is wrong becauseFosamprenavir is wrong because it is also aprotease inhibitor (PI)that inhibits the enzyme protease.
It does not prevent viral fusion with host cell membrane.
Correct Answer is D
Explanation
Vancomycin is an antibiotic that can cause ototoxicity, which is damage to the inner ear due to exposure to certain drugs.Ototoxicity can manifest as tinnitus (ringing in the ears), vertigo (dizziness), and hearing loss.Vancomycin ototoxicity is usually related to high serum levels of the drug and is more likely to occur in patients with renal impairment.Vancomycin can also potentiate the ototoxicity of other drugs, such as aminoglycosides.
Choice A is wrong because tinnitus is a possible manifestation of ototoxicity.
Choice B is wrong because vertigo is a possible manifestation of ototoxicity.
Choice C is wrong because hearing loss is a possible manifestation of ototoxicity.
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