A nurse is preparing to administer ivermectin to a client who has onchocerciasis (river blindness).
Which of the following adverse effects should the nurse monitor for in this client?

Hypertension

Tinnitus

Mazzotti reaction

Stevens-Johnson syndrome.

Answer and Explanation

The Correct Answer is C

A Mazzotti reaction is a severe inflammatory response that can occur after taking ivermectin for onchocerciasis (river blindness), a parasitic infection caused by Onchocerca volvulus. The reaction is due to the death of the microfilariae (larvae) of the parasite and can cause fever, rash, itching, joint pain, swollen lymph nodes, and eye inflammation.

Choice A is wrong because hypertension is not a common adverse effect of ivermectin. Hypotension, however, can occur in some cases.

Choice B is wrong because tinnitus is not a common adverse effect of ivermectin. Tinnitus is a ringing or buzzing sound in the ears that can be caused by various factors, such as exposure to loud noise, ear infections, or certain medications.

Choice D is wrong because Stevens-Johnson syndrome is not a common adverse effect of ivermectin.

Stevens-Johnson syndrome is a rare but serious skin reaction that can be triggered by infections or medications.

It causes blisters and peeling of the skin and mucous membranes.

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Correct Answer is C

Explanation

Azithromycin is a macrolide antibiotic that can cause a rare but serious side effect calledQT prolongation, which affects the electrical activity of the heart and can lead toirregular heartbeats, chest pain, and sudden cardiac death. The patient should report any signs of chest pain or palpitations to the doctor immediately.

Choice A is wrong because diarrhea is a common side effect of azithromycin that usually does not require medical attention unless it is severe or bloody.

Choice B is wrong because headache is also a common side effect of azithromycin that usually does not require medical attention unless it is severe or persistent.

Choice D is wrong because nausea is another common side effect of azithromycin that usually does not require medical attention unless it is severe or accompanied by vomiting.

A. Liver function tests B. Renal function tests C. Blood pressure D. Complete blood count E. Electrocardiogram.

Correct Answer is ["B","D"]

Explanation

Flucytosine can cause bone marrow suppression and renal toxicity, so the nurse should monitor the client’s renal function tests and complete blood count before giving this medication.

These tests can help detect any signs of anemia, leukopenia, thrombocytopenia, or impaired kidney function that may require dose adjustment or discontinuation of the drug.

Choice A is wrong because flucytosine does not affect liver function significantly.Choice C is wrong because flucytosine does not cause changes in blood pressure.Choice E is wrong because flucytosine does not affect cardiac function or cause arrhythmias.

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A nurse is preparing to administer ivermectin to a client who has onchocerciasis (river blindness). Which of the following adverse effects should the nurse monitor for in this client?

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Naxlex Comprehensive Predictor Exams

A patient has been prescribed azithromycin, a macrolide antibiotic, for a respiratory infection. The nurse should instruct the patient to report which of the following signs or symptoms of a potential adverse effect?

Correct Answer is C

Explanation

A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection. Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).

Correct Answer is ["B","D"]

Explanation

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?

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.)

A nurse is caring for a client who has trichomoniasis and is prescribed tinidazole. Which of the following instructions should the nurse give to the client?

Which statement is true regarding narrow spectrum antibiotics?

A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection. The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

The nurse is caring for a patient receiving vancomycin (Vancocin) for treatment of an infection caused by methicillin-resistant Staphylococcus aureus (MRSA). Which assessment finding would indicate a potentially serious adverse reaction to this drug?

(Select all that apply) A microbe acquires antibiotic resistance by which means?

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 preparing to administer ivermectin to a client who has onchocerciasis (river blindness).
Which of the following adverse effects should the nurse monitor for in this client?