The nurse is teaching a patient who has been prescribed ...

[mydiamond]

The nurse is teaching a patient who has been prescribed azithromycin (Zithromax). Which statement made by the patient indicates that additional teaching is needed?
 
  a. To avoid nausea, I will take my medicine along with food.
  b. I will use another form of birth control along with my oral contraceptives.
  c. Since I only have to take this drug once a day, it will be easy to remember.
  d. To help get rid of the infection, I will spend 30 minutes each day out in the sun.

Question 2

A patient taking montelukast (Singulair) for the last 2 months has the following blood laboratory test values. Which value does the nurse report to the prescriber immediately?
 
  a. White blood cell count of 10,500 cells/mm3
  b. Lactate dehydrogenase 950 IU/L
  c. Potassium 3.6 mEq/L
  d. Hematocrit 32

[Jbrasil]

Answer to Question 1

D
Although fresh air and sunshine are important, azithromycin is a macrolide and increases skin sensitivity to the sun (photosensitivity), greatly increasing the risk for sunburn, even among pa-tients with dark skin. The nurse must teach patients to avoid direct sunlight and tanning beds while they are taking this drug and for at least 1 week after stopping the drug.

Answer to Question 2

B
The white blood cell count, lactate dehydrogenase, and hematocrit values are abnormal; however, only the lactate dehydrogenase level is very high (four to five times normal). This value indicates liver impairment. Leukotriene inhibitors can cause liver impairment. This value must be reported immediately so that liver function can be explored and any needed changes in drug therapy made before irreversible liver damage occurs.

[mydiamond]

TY

[Jbrasil]

You're welcome