A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

Notify your provider if you experience a sore throat or fever while taking this medication.

Urine that is dark yellow or orange is an expected adverse effect of this medication.

Take the medication with an antacid to decrease stomach upset.

You might experience bleeding gums while taking this medication.

Answer and Explanation

The Correct Answer is A

A.   Azithromycin is an antibiotic commonly used to treat infections such as chlamydia. While it's generally well-tolerated, it can rarely cause serious side effects such as allergic reactions or severe skin reactions. Sore throat or fever may indicate such adverse effects, and patients

should be instructed to contact their healthcare provider immediately if they experience these symptoms.
B.   Dark yellow or orange urine is not a typical side effect of azithromycin. It can be caused by drugs such as rifampin.
C.   Taking azithromycin with an antacid is generally not necessary and may interfere with the absorption of the medication. It's usually recommended to take azithromycin on an empty stomach, at least 1 hour before or 2 hours after meals, unless otherwise directed by a healthcare provider.
D.   Bleeding gums are not a common side effect of azithromycin. If a patient experiences unusual bleeding or bruising, they should seek medical attention, but this symptom is not specifically associated with azithromycin use.

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Correct Answer is A

Explanation

A. Tyramine is found in various foods and its levels increase when food is aged or fermented. Avocados, especially if they are overripe, can contain higher levels of tyramine compared to the other options listed. It is important for individuals taking MAOIs to manage their intake of tyramine-rich foods to avoid adverse reactions.
B. 2% milk does not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.

C. Sliced apples do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
D. Celery sticks do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.

A. Take the medication on an empty stomach. B. Wait up to 3 weeks to see the full effects of the medication. C. Follow a low-sodium diet. D. Limit fluid intake to 800 ounces per day while taking this medication

Correct Answer is B

Explanation

A. Lithium carbonate is typically taken with food to minimize gastrointestinal side effects.

Taking it on an empty stomach may increase the risk of nausea and other GI symptoms.

B. It can take up to 3 weeks to see the full effects of lithium carbonate, which is used to treat bipolar disorder.
C. Clients do not need to follow a low-sodium diet; in fact, maintaining a consistent sodium intake is important while taking lithium,
D. While adequate fluid intake is important to prevent dehydration, there's no specific recommendation to limit fluid intake to 800 ounces per day. However, clients should be advised to maintain hydration and be cautious of excessive fluid intake, especially if they have kidney or cardiovascular issues.

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A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

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