Nursing implications and patient education
Nursing implications and patient education ( 5 Questions)
A nurse is educating a patient about the adverse effects of antimicrobial therapy.
Which of the following statements by the patient indicate a need for further teaching? (Select all that apply.)
Choice A is correct because drinking plenty of fluids can help prevent kidney damage from some antimicrobial drugs, such as aminoglycosides.
Choice B is correct because ringing in the ears or hearing loss can be signs of ototoxicity from some antimicrobial drugs, such as vancomycin.
Choice C is correct because some antimicrobial drugs, such as tetracyclines and sulfonamides, can increase the sensitivity to sunlight and cause sunburns.
Choice D is wrong because the patient should not stop taking the medication if they develop a rash or hives, but should report it to the provider immediately, as this could indicate a serious allergic reaction.
Choice E is wrong because the patient should not take an antacid if they have stomach upset, as this could interfere with the absorption of the antimicrobial drug.
The correct answer is choice D and E and they indicate a need for further teaching.
Choice D is wrong because the patient should not stop taking the medication if they develop a rash or hives, but should report it to the provider immediately, as this could indicate a serious allergic reaction.
Choice E is wrong because the patient should not take an antacid if they have stomach upset, as this could interfere with the absorption of the antimicrobial drug.
Some additional information:
• Choice A is correct because drinking plenty of fluids can help prevent kidney damage from some antimicrobial drugs, such as aminoglycosides.
• Choice B is correct because ringing in the ears or hearing loss can be signs of ototoxicity from some antimicrobial drugs, such as vancomycin.
• Choice C is correct because some antimicrobial drugs, such as tetracyclines and sulfonamides, can increase the sensitivity to sunlight and cause sunburns.
• Normal ranges for kidney function tests are blood urea nitrogen (BUN) 7 to 20 mg/dL and creatinine 0.6 to 1.2 mg/dL.
• Normal ranges for liver function tests are alanine aminotransferase (ALT) 7 to 56 units/L and aspartate aminotransferase (AST) 10 to 40 units/L.