A nurse is teaching a client who has a new prescription for erythromycin. Which of the following Information should the nurse include?
'Monitor for ringing in your ears."
Expect your skin to turn yellow.
Increase fiber intake to prevent constipation.
"Take this mediation with a glass of grapefruit juice.”
The Correct Answer is A
The correct answer is choice A. “Monitor for ringing in your ears.”
Choice A rationale:
Erythromycin can cause ototoxicity, which may present as tinnitus (ringing in the ears). Monitoring for this side effect is important to prevent potential hearing damage.
Choice B rationale:
Yellowing of the skin is not a common side effect of erythromycin. This symptom is more associated with liver issues or jaundice, which is not typically linked to erythromycin use.
Choice C rationale:
Erythromycin is more likely to cause gastrointestinal side effects such as diarrhea rather than constipation. Increasing fiber intake is not necessary to prevent constipation when taking this medication.
Choice D rationale:
Grapefruit juice can interfere with the metabolism of many medications, including erythromycin, potentially leading to increased drug levels and risk of side effects. It is generally advised to avoid grapefruit juice while taking erythromycin.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Gout is a type of arthritis caused by a build-up of uric acid crystals in the joints, leading to inflammation, pain, and swelling. Allopurinol is a medication used to treat gout by reducing the production of uric acid in the body. It works by inhibiting the enzyme xanthine oxidase, which is responsible for producing uric acid.
Option a, Alprazolam, is a medication used to treat anxiety and panic disorders. It is not used in the treatment of gout.
Option b, Spironolactone, is a medication used to treat high blood pressure, edema, and certain types of hormonal imbalances. It is not used in the treatment of gout.
Option c, Zolpidem, is a medication used to treat insomnia. It is not used in the treatment of gout.
Correct Answer is D
Explanation
A.Sterile technique should ideally be used when handling the distal portion of the eyedropper to prevent introducing pathogens into the eye, as the eye is a sensitive area susceptible to infection.
B.When cleaning the eye, it is recommended to wipe from the inner canthus to the outer canthus to avoid bringing contaminants from the outer area closer to the tear duct, which reduces the risk of infection.
C.Applying pressure to the bridge of the nose is ineffective for preventing systemic absorption of the medication. Instead, pressure should be applied to the inner canthus (the nasolacrimal duct area) for about 1-2 minutes after instillation.
D.The correct technique for administering eye drops involves placing the prescribed number of drops into the conjunctival sac, not directly onto the cornea, as this can cause irritation and discomfort. Administering drops into the conjunctival sac allows for better absorption of the medication.
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