Tetracycline has been prescribed for a client with Chlamydia trachomatis infection. Select the side effect of the medication. Select all that apply?
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Solution
Glossitis., D. Discoloration of the nails., E. Photosensitivity.
Side effects of tetracycline include glossitis, discoloration of the nails, photosensitivity, anorexia, nausea, vomiting, diarrhea, bulky loose stools, stomatitis, sore throat, black hairy tongue,dysphagia,and hoarseness.
A nurse is giving instructions to a client taking Ciprofloxacin (Cipro) for the treatment of gonorrhea. The nurse tells the client to?
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Solution
Report any history of tendon problems.
Ciprofloxacin may cause swelling or tearing of a tendon (the fiber that connects bones to muscles in the body), especially in the Achilles’ tendon of the heel. This can happen during treatment or up to several months after the client stop taking ciprofloxacin
Option B: This medication can cause dizziness so avoid any activity that requires alertness until the client is sure to perform such activities safely.
Option C: Take ciprofloxacin at least 2 hours before or 6 hours after taking an antacid.
Option D: Eating dairy products such as yogurt will impair the effectiveness of ciprofloxacin.
Amphotericin B (Fungizone) IV is given to a client with aspergillosis, a fungal infection. In order to prevent its side effects, the nurse anticipate administering which of the following prior, except?
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Solution
Ketoconazole.
Azole antifungals (eg, ketoconazole) decreases the effectiveness of amphotericin b.
Options A and C: Fever, shaking, chills, flushing, loss of appetite, dizziness, nausea, vomiting, headache, shortness of breath, or fast breathing may occur 1 to 3 hours after the infusion is started. Medications such as acetaminophen, diphenhydramine, corticosteroids such as hydrocortisone) may be necessary to prevent these side effects.
Option D: Meperidine (25 to 50 mg IV) has been shown in some patients to decrease the duration of shaking chills and fever that may accompany the infusion of amphotericin B.
A client went to the emergency room with complaints of abdominal pain, nausea, diarrhea and mucoid stools. Upon the interview of the nurse, the client stated that he is taking Cefixime (Suprax) for the treatment of urinary tract infection. The nurse determines that the client is most likely suffering from?
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Solution
Pseudomembranous colitis.
Pseudomembranous colitis also called antibiotic-associated colitis or C. difficile colitis, is the inflammation of the colon associated with an overgrowth of the bacterium Clostridium difficile. This overgrowth of C. difficile is most often related to recent antibiotic use such as ampicillin, clindamycin, fluoroquinolones, and cephalosporins.
Options A, B, and C may have the symptoms of the client but are not likely due to this case.
Amikacin (Amikin) is given to a client with E-coli infection. The nurse advises the client to report which of the following symptoms immediately?
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Solution
Hearing loss.
Amikacin is an aminoglycoside. Side effects of this medication includes ototoxicity (Hearing loss), confusion, disorientation, gastrointestinal irritation, palpitations, blood pressure changes and nephrotoxicity.
Options A, B, and C are not related with the medication.
A nurse is giving instructions to a client who is receiving Mycophenolate mofetil (CellCept) and Mycophenolic acid (Myfortic) after undergoing a heart transplant. The nurse tells the client to anticipate the following side effects, except?
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Solution
Insomnia.
These medications can cause diarrhea, vomiting, sepsis, back pain, neutropenia and hypertension.
A post-kidney transplant client went to the health care facility to ask the nurse regarding vaccinations while on Tacrolimus (Prograf) a medication used to prevent organ rejection. Which of the following is an appropriate response of the nurse?
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Solution
“Do not receive any live vaccinations while on this treatment”.
Tacrolimus may lower your body’s resistance and the vaccine may not work as well or the client may get the infection the vaccine is meant to prevent.
Sirolimus (Rapamune) is prescribed to a post-renal transplantation client. Upon the review of the chart, the nurse expects which of the following laboratory results?
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Solution
Elevated triglyceride level.
Sirolimus (Rapamune) raises cholesterol and triglyceride levels. This medication also causes a decrease in potassium and platelet count.
A client is recently diagnosed with HIV and a highly antiretroviral therapy is started. After the first week of therapy, the patient complains of headaches, dizziness, and nightmares. Which one of the following anti-retroviral drugs is most likely associated with these symptoms?
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Solution
Efavirenz.
Efavirenz is a non-nucleoside reverse transcriptase inhibitor. Side effects include rash, dizziness, confusion, headache, and nightmares.
Options A and C: Lamivudine and Tenofovir side effects includes headache, dizziness, nausea, diarrhea, or trouble sleeping.
Option D: Saquinavir can cause headache, nausea, diarrhea, and photosensitivity.
The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet (Foscavir). The nurse carefully monitors which of the following laboratory test during the treatment with this medication, except?
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Solution
Serum sodium.
Renal impairment is the major toxicity involve in Foscarnet (Foscavir); This medicine also may cause decreased levels of calcium, magnesium, phosphorous, and potassium.