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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A lithium level of 1.2 mEq/L falls within the therapeutic range (0.6-1.2 mEq/L) for the treatment of bipolar disorder. Therefore, the nurse should administer the regular dose of lithium as prescribed and closely monitor the client for any side effects.
B. Repeating the lithium level is unnecessary because the current level is within the therapeutic range. Repeated testing may be warranted if the level is outside the therapeutic range or if there are clinical concerns.
C. This action is not indicated for a lithium level within the therapeutic range. ECG and seizure precautions are typically reserved for lithium toxicity, which presents with levels above the therapeutic range.
D. Increasing the dose of lithium is not warranted when the current level is within the therapeutic range. Doing so could increase the risk of toxicity.
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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