Author Question: An 80-year-old patient presents at the clinic for a follow-up appointment. She is taking a macrolide ... (Read 73 times)

Bob-Dole · **on:** Jul 23, 2018

An 80-year-old patient presents at the clinic for a follow-up appointment. She is taking a macrolide antibiotic and is experiencing tinnitus. The nurse is talking with family members about home care for the patient.

What should the nurse include in her instructions regarding home care? A) Keep the patient in a prone position when in bed.
B) Eliminate salt from the patient's diet.
C) Provide protective measures to prevent falling or injury.
D) Monitor exposure to sunlight.

Question 2

A mother of a 3-year-old child brings her child to the clinic. The child is diagnosed with pinworms. What drug would be the best choice for the patient?

A) Pyrantel (Pin-Rid)
B) Ivermectin (Stromectol)
C) Mebendazole (Vermox)
D) Albendazole (Albenza)

AaaA · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Macrolide antibiotics can cause severe auditory nerve damage, which can cause dizziness, ringing in the ears (tinnitus), and loss of balance and hearing. The patient would be at high risk for injury due to falls. Usually a person who is dizzy is unable to lie flat and needs to recline with the head elevated. Salt and sunlight are not a component of this patient's presenting complaint.

Answer to Question 2

C
Feedback:
Mebendazole is the most commonly used anthelmintic for pinworms because it is available in a chewable tablet. This is a good choice for the 3-year-old patient. Pyrantel is also prescribed for pinworms but is not available in a chewable form. Ivermectin is prescribed for treatment of threadworm disease and albendazole is given to treat active lesions caused by pork tapeworm and cystic disease of the liver, lungs, and peritoneum caused by dog tapeworm.