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.The nurse is providing discharge teaching for a patient who will be taking metr

ID: 138547 • Letter: #

Question

.The nurse is providing discharge teaching for a patient who will be taking metronidazole eaer discharge. The drug information states to caution that a disulfiram-like reactions can occur. This means: a. adverse reactions can occur if the patient takes metronidazole and the drug disulfiram. b. adverse reactions can occur if the patient ingests or absorbs alcohol while taking metronidazole. c. metronidazole must be taken with disulfiram to prevent adverse reactions. d. disulfiram is frequently prescribed for patients who are receiving metronidazole. 61. The same dose of the same drug is administered once in the morning and again in the evening to the same patient. There is no change in the patient's overall health between the doses, and no other drugs (or anything else) that can alter the responses of this drug have been taken. Is it possible that one of the drug's side effects can be unwanted when taken at one of those times and desirable when taken at the other? 62. Two patients are receiving two regular strength (325 mg each) aspirin tablets by mouth every 4 hours for headache. One patient develops gastric distress, and the other develops shortness of breath and respiratory distress. Identify the type of reaction each patient is Are all the adverse effects of drugs confined to the structures or systems on which they exert their main therapeutic effects or to the organs mainly responsible for eliminating them (i.e., the liver, kidneys)? Why or why not? Ignore allergie reactions. 63. A patient is taking digoxin, a drug that is excreted by the kidneys in the active state. The nurse notes that the patient's laboratory values include significantly elevated serum creatinine levels. List assessment priorities for this patient related to administration of the digoxin. 64. 65. The nurse is caring for a 92-year-old female who was admitted yesterday with umonia. Past history includes hypertension and heart failure. The patient is pne exhibiting need to provide to the prescriber to help determine if the behavior is related to a drug interaction? signs that she is experiencing hallucinations. What information does the nurse

Explanation / Answer

60. Answer is option B. Adverse reactions occur if the patient ingests or absorbs alcohol while taking metronidazole.
Metronidazole is an effective treatment for any bacterial infection. It causes an adverse reaction called drug – drug reaction that occurs when metronidazole and alcohol is taken together. This reaction is called disulfiram like reaction. The symptoms are nausea and vomiting.