A nurse Is teaching a client who Is taking metronidazole. Which of the following sense alterations should the nurse Include as an adverse eﬀect of metronidazole?

Hearing Loss

Alterations in touch

Metallic taste

Olfactory changes

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Metallic taste Choice A rationale: Metronidazole is not associated with hearing loss as a common adverse effect. Hearing loss is more commonly linked to other medications, such as aminoglycosides. Choice B rationale: Alterations in touch, or peripheral neuropathy, can occur with metronidazole but are not the typical sense alteration reported by patients. Choice C rationale: Metallic taste is a well-documented adverse effect of metronidazole. Many patients report a metallic or unpleasant taste during therapy. Choice D rationale: Olfactory changes are not a commonly reported adverse effect of metronidazole. This is more often seen with certain other medications or conditions.

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Correct Answer is D

Explanation

BUN stands for Blood Urea Nitrogen, and it is a laboratory test that measures the amount of nitrogen in the blood that comes from urea, which is a waste product of protein metabolism. Elevated BUN levels indicate impaired kidney function. Amphotericin B is known to be potentially nephrotoxic, which means that it can cause damage to the kidneys. Therefore, the nurse should report an elevated BUN level to the provider before initiating the medication to ensure the safety of the client. Potassium, glucose, and sodium levels are within normal range and do not require intervention in this scenario.

A. A recent history of diarrhea for 3 days. B. Serum creatinine 0.8 mg/dL. C. Severe allergy to amoxicillin. D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.

Correct Answer is C

Explanation

Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.

A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.

A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.

A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a diﬀerent site or route for administration if necessary.

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A nurse Is teaching a client who Is taking metronidazole. Which of the following sense alterations should the nurse Include as an adverse eﬀect of metronidazole?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a fungal infection and is given a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is C

Explanation

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