The practical nurse (PN) is administering an enteric-coated form of erythromycin (EES) to a male client with an upper respiratory infection. The client tells the PN that the medication should be taken with his meals. Wha
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The practical nurse (PN) is administering an enteric-coated form of erythromycin (EES) to a male client with an upper respiratory infection. The client tells the PN that the medication should be taken with his meals. What information should the PN offer the client?
A) Taking EES with food anytime is recommended.
B) EES should be taken on an empty stomach.
C) ESS may be taken without regard to meals.
D) The best time to take EES is once daily at night. - Answer>>> C) ESS may be taken without regard to meals.
Feedback:
The enteric-coated formulation of erythromycin may be taken without regard to meals (C). Because an enteric coating makes the drug less irritating to the gastrointestinal tract, this is likely to enhance compliance with drug therapy without regard to meals. (A, B, and D) are not indicated.
A client who is receiving an antibiotic suddenly develops hives. The practical nurse should report that the client is most likely experiencing which type of drug response?
A) Adverse response.
B) Hypersensitivity reaction.
C) Idiosyncratic reaction.
D) Multiple drug interaction. - Answer>>> B) Hypersensitivity reaction.
Feedback:
Hives, a symptom of a hypersensitivity reaction (B), involve an abnormal immune response and are not uncommon with the use of antibiotics. Although (A, C, and D) are unexpected
pharmacologic reactions, hives represent a life-threatening allergic response and should be reported to ensure prompt intervention.
A female client with recurring headaches tells the practical nurse (PN) that she has been taking at least 4 grams of acetaminophen a day. Which laboratory studies should the PN review for this client?
A) Creatinine clearance.
B) Hepatic enzymes.
C) Coagulation values.
D) Arterial blood gases. - Answer>>> B) Hepatic enzymes.
Feedback:
Liver toxicity can occur when doses of acetaminophen exceed 4 grams a day, resulting in an elevation in hepatic enzyme values (B). (A, C, and D) do not reveal findings related to acetaminophen toxicity.
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