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.
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Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is ["A","D"]
Explanation
Tetracycline can causephotosensitivity, which means increased sensitivity to sunlight and risk of sunburn.It can also causesuperinfection, which means overgrowth of resistant bacteria or fungi in the mouth, intestines, or vagina.
Choice B is wrong because tetracycline can causetooth discolorationin children under 8 years old, not in adults.
Choice C is wrong because tetracycline can causehepatic impairmentonly in patients with preexisting liver disease or who take high doses for a long time.
Choice E is wrong because tetracycline can causebone marrow suppressiononly in patients with preexisting blood disorders or who take high doses for a long time.
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