A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus.
Which of the following actions should the nurse include in the plan of care?
Monitor the client for hearing loss.
Implement a high-fiber diet to prevent constipation.
Administer the medication over 10 min.
Reconstitute the medication with a 5% dextrose solution.
The Correct Answer is A
The nurse should monitor the client for hearing loss because it is a potential adverse effect of erythromycin.
Choice B is wrong because a high-fiber diet to prevent constipation is not mentioned as a necessary action when administering erythromycin lactobionate IV bolus.
Choice C is wrong because erythromycin lactobionate IV bolus should not be administered over 10 min; bolus injection (IV push) is contraindicated.
Choice D is wrong because erythromycin lactobionate should not be reconstituted with a 5% dextrose solution; it should be reconstituted with sterile water for injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should inform the client that they will need to take two or more medications to treat their disease [C].
The treatment of active pulmonary tuberculosis typically involves a combination of several antibiotics for a period of 6 to 12 months.
Choice A is wrong because monitoring kidney function is not typically necessary while taking medication for tuberculosis [A].
Choice B is wrong because tuberculin skin tests are not necessary every 6 months while taking medication for tuberculosis [B].
Choice D is wrong because the duration of treatment for active pulmonary tuberculosis is typically 6 to 12 months, not 3 years [D].
Correct Answer is B
Explanation
Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur within seconds or minutes of exposure to an allergen, such as penicillin.
One of the symptoms of anaphylaxis is wheezing, which is caused by the constriction of the airways and a swollen tongue or throat.
Choice A is wrong because hypertonia (increased muscle tone) is not a known symptom of anaphylaxis.
Choice C is wrong because urinary retention (inability to completely empty the bladder) is not a known symptom of anaphylaxis.
Choice D is wrong because increased blood pressure is not a known symptom of anaphylaxis; in fact, anaphylaxis can cause a sudden drop in blood pressure.
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