A nurse is caring for a client who has trichomoniasis and is prescribed tinidazole.
Which of the following instructions should the nurse give to the client?

Take the medication with an antacid to reduce gastric irritation.

Drink plenty of fluids to prevent crystalluria.

Avoid sexual intercourse until treatment is completed.

Chew the tablets thoroughly before swallowing.

Electrocardiogram.

Answer and Explanation

The Correct Answer is C

The client should avoid sexual intercourse until treatment is completed. This is because trichomoniasis is a sexually transmitted infection that can be passed between partners during penile-vaginal sex or through transmission of infected vaginal fluids or fomites among women who have sex with women. Therefore, abstaining from sex until both partners are cured can prevent reinfection and transmission.

Choice A is wrong because taking the medication with an antacid can reduce its absorption and effectiveness. Tinidazole should be taken with food to minimize gastrointestinal side effects.

Choice B is wrong because drinking plenty of fluids to prevent crystalluria is not relevant for tinidazole.

Crystalluria is a condition where crystals form in the urine, which can cause kidney stones or damage. This is a potential complication of some antibiotics, such as sulfonamides, but not tinidazole.

Choice D is wrong because chewing the tablets thoroughly before swallowing is not necessary for tinidazole. Tinidazole tablets are film-coated and can be swallowed whole with water.

Chewing the tablets may alter their release and absorption, and may also cause a bitter aftertaste.

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Correct Answer is ["A","B"]

Explanation

Gentamicin is an aminoglycoside antibiotic that can causeototoxicity(damage to the inner ear) andnephrotoxicity(damage to the kidneys) as serious side effects. These effects may be irreversible and can occur even at therapeutic doses. Therefore, the nurse should monitor the client’s hearing, balance, urine output, and blood tests for kidney function while on this drug.

Choice C is wrong because gentamicin does not causehepatotoxicity(damage to the liver).

This is more common with other antibiotics such as isoniazid or rifampin.

Choice D is wrong because gentamicin does not causeneuromuscular blockade(paralysis of muscles).

This is more common with other aminoglycosides such as neomycin or tobramycin.

Choice E is wrong because gentamicin does not causethrombocytopenia(low platelet count).

This is more common with other drugs such as heparin or sulfonamides.

A. Jaundice B. Vision changes C. Hearing loss D. Orange-colored urine E. Numbness in the hands or feet.

Correct Answer is ["A","B","E"]

Explanation

Jaundice, vision changes and numbness in the hands or feet are possible adverse effects of the drugs used to treat tuberculosis.The nurse should instruct the client to report these signs or symptoms as they may indicate liver damage, optic neuritis or peripheral neuropathy respectively.

Choice C is wrong because hearing loss is not a common side effect of these drugs.Hearing loss may be caused by other drugs such as aminoglycosides.

Choice D is wrong because orange-colored urine is a harmless side effect of rifampin and does not need to be reported.

The nurse should inform the client about this expected change and reassure them that it is not harmful.

The normal ranges for liver function tests are:

• AST: 10-40 U/L

• ALT: 7-56 U/L

• ALP: 45-115 U/L

• Bilirubin: 0.1-1.2 mg/dL

The normal range for visual acuity is 20/20.

The normal range for sensation is intact and symmetrical in all extremities.

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A nurse is caring for a client who has trichomoniasis and is prescribed tinidazole. Which of the following instructions should the nurse give to the client?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection. The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

A nurse is teaching a client who has tuberculosis about the prescribed drug regimen, which includes isoniazid, rifampin, pyrazinamide, and ethambutol. The nurse should instruct the client to report which signs or symptoms as possible adverse effects of these drugs? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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A nurse is caring for a client who has tuberculosis and is prescribed rifampin, an antitubercular drug. The nurse should instruct the client about which potential side effect of rifampin?

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.)

A nurse is caring for a client who has trichomoniasis and is prescribed tinidazole.
Which of the following instructions should the nurse give to the client?