The nurse is caring for a patient who is prescribed azithromycin for a respiratory infection.
The nurse should assess the patient's medical history for any past or current conditions related to:
Prolonged QT interval.
Constipation.
Tachycardia.
Hyperkalemia.
The Correct Answer is A
Choice A rationale
Azithromycin can prolong the QT interval, leading to potential cardiac arrhythmias. Patients with a history of prolonged QT interval or other heart conditions should be monitored closely.
Choice B rationale
Constipation is not commonly associated with azithromycin use. Gastrointestinal side effects may include diarrhea or nausea but not constipation.
Choice C rationale
While tachycardia can be a side effect of some medications, azithromycin is more commonly associated with QT prolongation rather than causing increased heart rate directly.
Choice D rationale
Hyperkalemia is not typically a concern with azithromycin. Electrolyte imbalances are not a common side effect of this antibiotic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D"]
Explanation
Choice A rationale: Administering a small test dose is not typically required before giving an antibiotic unless there is a known history of severe allergies. It is more important to identify the causative organism to ensure the appropriate antibiotic is used.
Choice B rationale: Having epinephrine available is a safety measure for potential severe allergic reactions, but it is not the most immediate priority. Ensuring the antibiotic is appropriate for the infection is crucial.
Choice C rationale: Monitoring the client's temperature and blood pressure is important, but it is not the most immediate priority before administering the antibiotic. These parameters should be monitored throughout treatment.
Choice D rationale: Obtaining a urine specimen for culture and sensitivity is the most important action before administering the antibiotic. This ensures that the correct antibiotic is prescribed based on the specific bacteria causing the infection. It helps prevent the use of ineffective antibiotics and reduces the risk of antibiotic resistance.
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Tamsulosin is used to relax the muscles in the prostate and bladder neck, making it easier to urinate in men with BPH.
Choice B rationale
Sildenafil is primarily used to treat erectile dysfunction and pulmonary hypertension. It is not used to treat BPH.
Choice C rationale
Ethinyl estradiol and drospirenone are components of oral contraceptives and are not used for the treatment of BPH.
Choice D rationale
Finasteride is used to shrink an enlarged prostate by blocking the hormone that causes prostate growth, making it a common treatment for BPH.
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