The nurse determines that a patient taking metronidazole (Flagyl) ...

[audragclark]

The nurse determines that a patient taking metronidazole (Flagyl) for a protozoan infection has been drinking alcohol while taking the medication. What assessment findings did the nurse use to make this clinical decision?
 
  Select all that apply.
 
  1. Bruising
  2. Flushing
  3. Vomiting
  4. Sore throat
  5. Severe headache

Question 2

A patient recovering from surgery for a small bowel obstruction is prescribed enteral feedings. Which actions should the nurse take to ensure the feedings are provided safely to the patient?
 
  Select all that apply.
 
  1. Keep the head of the bed elevated 30 to 45 degrees.
  2. Check for tube placement by flushing with normal saline.
  3. Flush the tube with club soda after administering medications.
  4. Measure external tube length after verifying placement with an x-ray.
  5. Stop the tube feeding 10 minutes before changing the position to supine.

[dawsa925]

Answer to Question 1

Correct Answer: 2, 3, 5
Alcohol causes an Antabuse-type reaction when taking metronidazole (Flagyl). Flushing, vomiting, and severe headache are manifestations of this response. Bruising and sore throat are adverse effects of metronidazole (Flagyl) and should be reported to the healthcare provider.

Answer to Question 2

Correct Answer: 1, 4
The head of the bed should be elevated 30 to 45 degrees. The external tube length should be measured after placement has been verified with an x-ray. Flushing with normal saline is not an appropriate method to check for tube placement. Flushing the tube with club soda after medication administration is not appropriate. Tube feedings should be stopped 30 to 60 minutes before placing the patient in the supine position.

[audragclark]

Excellent

[Joy Chen]

Thanks for the timely response, appreciate it