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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rh incompatibility primarily affects erythrocytes, resulting in hemolysis rather than clotting abnormalities. Therefore, transient clotting difficulties are not typically associated with this condition.
B. Rh incompatibility doesn't directly cause hypothermia in newborns. The condition primarily leads to hemolytic disease of the newborn, which can result in jaundice, anemia, and other complications, but not hypothermia.
C. Rh incompatibility leads to an increase in bilirubin levels, causing hyperbilirubinemia rather than hypobilirubinemia. This increase in bilirubin levels can lead to jaundice and potentially severe neurological complications in the newborn.
D. This is a severe complication of Rh incompatibility where the fetus experiences severe edema due to hemolytic anemia and heart failure. It results from the destruction of fetal red blood cells by maternal antibodies against Rh-positive blood cells.

Correct Answer is D
Explanation
A. Prone position (lying face down) is not appropriate for administering vaginal cream.
B. Orthopneic position (sitting up and leaning slightly forward) is not conducive to administering vaginal cream.
C. Sims' position (lying on the left side with the right knee drawn up and the left arm drawn behind, often used for rectal examinations) is not typically used for administering vaginal cream.
D. The dorsal recumbent position, lying on the back with knees flexed and soles of feet flat on the bed, is typically recommended for administering vaginal cream. This position allows for easier insertion and retention of the medication.
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