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.
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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Related Questions
Correct Answer is C
Explanation
A. Tinnitus, or ringing in the ears, is a common adverse effect of aminoglycosides such as gentamycin which cause ototoxicity, rather than erythromycin which is a macrolide.
B. Constipation with abdominal cramping, is not a commonly reported side effect of erythromycin; this medication is more likely to cause diarrhea rather than constipation.
C. Common adverse effects of oral erythromycin include gastrointestinal symptoms such as abdominal cramping and nausea. Therefore, the statement indicating the client is experiencing a common adverse effect would be having a small amount of yellow emesis which aligns with the reported side effects of nausea and vomiting.
D. Swollen lips are not a common adverse effect of erythromycin. This symptom may indicate an allergic reaction or another issue unrelated to the medication.
Correct Answer is A
Explanation
A. Respiratory depression is a potential side effect of magnesium sulfate toxicity.
Administering calcium gluconate can antagonize the effects of magnesium on smooth muscle and cardiac tissue, helping to counteract respiratory depression and other symptoms of magnesium toxicity.
B. Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, not magnesium sulfate toxicity.
C. Protamine sulfate is used to reverse the anticoagulant effects of heparin, not magnesium sulfate toxicity.
D. Naloxone is an opioid antagonist used to reverse the effects of opioid overdose, not magnesium sulfate toxicity.
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