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 ["A","B","C","E"]

Explanation

Cefazolin can cause serious or life-threatening allergic reactions in some patients, especially those with a history of penicillin allergy.The most common allergic reactions to cefazolin are immediate reactions, such as anaphylaxis, urticaria, bronchospasm, and angioedema.These reactions usually occur within one hour of the drug administration and may involve symptoms such as rash, itching, swelling, difficulty breathing, low blood pressure, and shock.Immediate reactions are mediated by immunoglobulin E (IgE) antibodies that bind to the drug and trigger the release of inflammatory mediators from mast cells and basophils.

Choice D is wrong because Stevens-Johnson syndrome is not a typical allergic reaction to cefazolin.

Stevens-Johnson syndrome is a rare and severe skin reaction that can be caused by various drugs, infections, or autoimmune diseases.

It involves blistering and peeling of the skin and mucous membranes, fever, malaise, and eye inflammation.

Stevens-Johnson syndrome is not mediated by IgE antibodies, but by other immune mechanisms that damage the skin cells.

Cefazolin is not known to cause Stevens-Johnson syndrome, although other cephalosporins have been reported to do so in rare cases.

A. Bactericidal B. Bacteriostatic C. Bacteriolytic D. Bacteriophage.

Correct Answer is B

Explanation

A bacteriostatic agent is an agent that inhibits the growth or reproduction of bacteria, but does not kill them.

This means that the bacteria are still alive, but they cannot multiply or cause infection.

Choice A) Bactericidal is wrong because a bactericidal agent is an agent with the capability to kill bacteria.

This means that the bacteria are no longer alive or viable.

Choice C) Bacteriolytic is wrong because a bacteriolytic agent is an agent that causes the lysis or rupture of bacterial cells.

This means that the bacteria are destroyed and their contents are released.

Choice D) Bacteriophage is wrong because a bacteriophage is not an agent, but a type of virus that infects and replicates within bacteria.

This means that the bacteriophage uses the bacteria as hosts and may kill them or not depending on the type of infection.

Question 78.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving cefazolin, a first-generation cephalosporin, for a surgical prophylaxis. The nurse should assess the patient for which of the following possible allergic reactions? (Select all that apply.)

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

Explanation

Which term is used to describe an agent that inhibits bacterial growth but does not kill bacteria?

Correct Answer is B

Explanation

Which of the following antiviral medications inhibits neuraminidase enzyme?

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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).