A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Endocarditis

Kidney transplant

Seizures

Hypokalemia

Answer and Explanation

The Correct Answer is A

A.   Endocarditis: Metronidazole is an antibiotic commonly used to treat infections caused by anaerobic bacteria, including certain types of endocarditis.
B.   Kidney transplant: Metronidazole is not typically indicated for kidney transplant. Other antibiotics may be used in post-transplant care to prevent or treat infections.
C.   Seizures: Metronidazole is not indicated for seizures. In fact, it may rarely cause neurological side effects such as seizures, but it is not typically used to treat seizures.
D.   Hypokalemia: Metronidazole is not indicated for hypokalemia. It is an antibiotic and does not directly affect potassium levels.

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Correct Answer is C

Explanation

A. “I can cut the patches in half to save money": Cutting nitroglycerin patches is not recommended as it can alter the medication's release rate and efficacy. Therefore, this statement indicates a misunderstanding and should be corrected.

B. “I will apply a new patch to the same site whenever I replace it": Rotating patch sites is essential to prevent skin irritation and tolerance development. Therefore, this statement indicates a misunderstanding and should be corrected.
C. “I will take the patch off after dinner every night": This statement demonstrates understanding because nitroglycerin patches are typically worn for a certain number of hours (e.g., 12-14 hours) and then removed for a drug-free interval to prevent tolerance development.
D. "I can put a second patch on if I have chest pain": Applying multiple nitroglycerin patches simultaneously can lead to excessive vasodilation and hypotension, which can be dangerous. Therefore, this statement indicates a misunderstanding and should be corrected.

A. The client had a decreased neutrophil count before the medication was administered. B. The client had chemotherapy 12 hr before the medication was administered. C. The vial was out of the refrigerator for 2 hr before the medication was administered. D. The client reported feeling nauseous after the medication was administered.

Correct Answer is C

Explanation

A. The client had a decreased neutrophil count before the medication was administered: This finding may be expected in a client undergoing cytotoxic chemotherapy and receiving filgrastim to stimulate neutrophil production. It is not an indication for an incident report.
B. The client had chemotherapy 12 hr before the medication was administered: The timing of chemotherapy administration is not typically a reason to complete an incident report unless it conflicts with specific medication guidelines or protocols.
C. The vial was out of the refrigerator for 2 hr before the medication was administered:

Filgrastim should be stored in the refrigerator and protected from light. Allowing the medication vial to be out of the refrigerator for an extended period may compromise its stability and effectiveness, potentially leading to adverse effects or reduced efficacy. Therefore, this finding warrants completion of an incident report.
D. The client reported feeling nauseous after the medication was administered: Nausea is a known side effect of filgrastim and is not typically an indication for completing an incident report unless it is severe or persistent and requires intervention.

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A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin transdermal patches 0.8 mg/hr daily. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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