A nurse is teaching a client who has a bacterial urinary tract infection about nitrofurantoin (Macrobid).
Which of the following statements by the client indicates understanding of the teaching?
“I will take this medication with milk or food.”
“I will drink at least two liters of water daily.”
“I will stop taking this medication if I feel better.”
“I will use a straw to drink this medication."
The Correct Answer is A
This statement indicates that the client understands that nitrofurantoin (Macrobid) can cause gastrointestinal upset and taking it with food or milk can help reduce this side effect.
Choice B is wrong because drinking at least two liters of water daily is a general measure to prevent urinary tract infections (UTIs), not a specific instruction for nitrofurantoin.
Choice C is wrong because the client should complete the full course of antibiotics even if they feel better, to avoid recurrence or resistance of the infection.
Choice D is wrong because using a straw to drink this medication is not necessary or helpful.
Nitrofurantoin is an oral capsule, not a liquid. Using a straw may be advised for liquid medications that can stain the teeth, such as iron supplements.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A is correct because azithromycin can cause liver toxicity and hepatitis, so the nurse should monitor the client’s liver function tests.
Choice B is wrong because azithromycin can be taken with or without food.
Choice C is wrong because azithromycin does not interact with dairy products.
Choice D is correct because azithromycin can increase the risk of sunburn and photosensitivity, so the nurse should advise the client to use sunscreen and avoid excessive sun exposure.
Choice E is correct because azithromycin is a bacteriostatic antibiotic that requires the client to complete the full course of therapy to prevent bacterial resistance and recurrence of infection.
Correct Answer is A
Explanation
Warfarin (Coumadin) can interact with metronidazole (Flagyl) and increase the risk of bleeding.This is because metronidazole may inhibit the enzyme that metabolizes warfarin, leading to higher warfarin levels and enhanced anticoagulant effect.If a patient is taking warfarin and metronidazole, they may need a dose adjustment and frequent monitoring of their INR.They should also watch for any signs of bleeding or bruising and report them to their doctor.
Choice B is wrong because levothyroxine (Synthroid) does not have a significant interaction with metronidazole.
Choice C is wrong because lisinopril (Prinivil) does not have a significant interaction with metronidazole.
Choice D is wrong because omeprazole (Prilosec) does not have a significant interaction with metronidazole.
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