A nurse is caring for a client who is taking oral erythromycin. Which of the following statements by the nurse indicates the client is experiencing a common adverse effect of this medication?
"The client verbalizes a ringing in the ears."
"The client reports constipation with abdominal cramping."
"The client had a small amount of yellow emesis."
"The client has swollen lips."
The Correct Answer is C
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.
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Related Questions
Correct Answer is A
Explanation
A. Diazepam, a benzodiazepine, is known to cause drowsiness and sedation as a common side effect. Patients should be advised to avoid activities requiring mental alertness, such as driving or operating machinery, until they understand how the medication affects them.
B. Even a single dose of diazepam can cause side effects such as drowsiness, dizziness, and impaired coordination. Patients should be aware of potential side effects regardless of the number of doses taken.
C. While grapefruit juice can interact with certain medications by affecting their metabolism, it doesn't directly inactivate diazepam. However, it may increase the risk of side effects by altering the metabolism of the medication, leading to higher blood levels.
D. Tyramine is not typically a concern with diazepam. Tyramine-containing foods are more relevant in the context of monoamine oxidase inhibitors (MAOIs), a different class of medications used to treat depression.
Correct Answer is A
Explanation
A. Furosemide, a loop diuretic, can increase lithium levels by reducing renal clearance of lithium, leading to lithium toxicity. Monitoring lithium levels and adjusting the dose as necessary is essential when co-administered with furosemide.
B. Gentamicin, an aminoglycoside antibiotic, is not known to interact significantly with lithium.
C. Alprazolam, a benzodiazepine, is not known to interact significantly with lithium.
D. Warfarin, an anticoagulant, is not known to interact significantly with lithium.
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