A nurse is educating a client who has a respiratory infection and a new prescription for azithromycin (Zithromax).
Which of the following instructions should the nurse include? (Select all that apply).

Take the medication with or without food

Report any signs of jaundice or dark urine

Avoid drinking grapefruit juice while taking this medication

Complete the full course of therapy as prescribed

Store the medication in a cool and dry place.

Answer and Explanation

Correct Answer : B,C,D

Choice A is wrong because azithromycin (Zithromax) should be taken with food to prevent stomach upset.

Choice B is correct because azithromycin can cause liver damage and the client should report any signs of jaundice or dark urine as they may indicate liver problems.

Choice C is correct because azithromycin can interact with grapefruit juice and increase the risk of side effects such as nausea, vomiting, diarrhea, headache and QT interval prolongation.

Choice D is correct because the client should complete the full course of therapy as prescribed to prevent bacterial resistance and recurrence of infection.

Choice E is wrong because azithromycin should be stored in a refrigerator and discarded after 10 days if it is in a liquid form.

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Correct Answer is D

Explanation

Vancomycin is an antibiotic that can cause ototoxicity, which is damage to the inner ear due to exposure to certain drugs.Ototoxicity can manifest as tinnitus (ringing in the ears), vertigo (dizziness), and hearing loss.Vancomycin ototoxicity is usually related to high serum levels of the drug and is more likely to occur in patients with renal impairment.Vancomycin can also potentiate the ototoxicity of other drugs, such as aminoglycosides.

Choice A is wrong because tinnitus is a possible manifestation of ototoxicity.

Choice B is wrong because vertigo is a possible manifestation of ototoxicity.

Choice C is wrong because hearing loss is a possible manifestation of ototoxicity.

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 educating a client who has a respiratory infection and a new prescription for azithromycin (Zithromax). Which of the following instructions should the nurse include? (Select all that apply).

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a severe infection and is receiving vancomycin (Vancocin). The nurse should monitor the client for which of the following manifestations of ototoxicity?

Correct Answer is D

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

The nurse identifies which host factor as the most important when choosing an antimicrobial drug?

Which of the following antiviral medications inhibits neuraminidase enzyme?

Which of the following antiviral medications prevents viral fusion with host cell membrane?

A nurse is caring for a client who has oral candidiasis and is prescribed nystatin suspension. Which of the following actions should the nurse take?

Which antibiotics are classified as concentration-dependent antimicrobials?

The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what?

A nurse is caring for a patient who is receiving gentamicin IV for treatment of endocarditis caused by gram-negative bacteria. Which laboratory value should be monitored closely during gentamicin therapy?

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 educating a client who has a respiratory infection and a new prescription for azithromycin (Zithromax).
Which of the following instructions should the nurse include? (Select all that apply).