The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection.
The patient is also taking acetaminophen for pain.
The nurse should expect to review which lab value when monitoring for this drug side effect?
Complete blood count.
Urinalysis.
Electrolytes.
Liver enzymes.
The Correct Answer is D
Choice A rationale
While a complete blood count (CBC) is an essential lab value for monitoring many conditions and potential side effects, it is not the primary concern when administering high doses of azithromycin, especially with co-administration of acetaminophen. The focus should be on liver function.
Choice B rationale
Urinalysis is useful in diagnosing and monitoring various conditions but is not directly relevant to monitoring the side effects of azithromycin and acetaminophen. These medications do not typically cause urinary abnormalities that would necessitate frequent urinalysis.
Choice C rationale
Electrolytes are not directly affected by azithromycin and acetaminophen use. Although monitoring electrolytes can be essential in broader contexts, these specific medications do not primarily impact electrolyte balance requiring focused monitoring.
Choice D rationale
Liver enzymes are the key lab values to monitor when administering high doses of azithromycin and acetaminophen. Both medications are metabolized by the liver and can cause hepatotoxicity. Monitoring liver enzymes helps in detecting early signs of liver damage and preventing further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Improved mental status can be a sign of better overall health but is not a specific indicator of improved heart failure status.
Choice B rationale
Using fewer pillows at night indicates reduced orthopnea, a common symptom of heart failure, suggesting that the patient’s heart failure status has improved.
Choice C rationale
Increased skin turgor indicates improved hydration status but is not a specific measure of heart failure improvement.
Choice D rationale
Heart rate regularity is important but does not directly indicate improved heart failure status.
Correct Answer is B
Explanation
Choice A rationale
Glycopyrrolate is an anticholinergic medication that reduces secretions in the mouth, throat, and airways but is not typically used for bronchospasm associated with COPD.
Choice B rationale
Ipratropium is an anticholinergic bronchodilator that is commonly used to treat bronchospasm associated with COPD. It works by relaxing the muscles around the airways to improve breathing.
Choice C rationale
Atropine is an anticholinergic medication used to treat bradycardia and reduce secretions but is not indicated for bronchospasm associated with COPD.
Choice D rationale
Flavoxate is a urinary antispasmodic used to relieve symptoms of bladder spasms but has no role in the treatment of bronchospasm associated with COPD.
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