The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication. The patient will begin taking cefaclor for treatment of an acute infection. The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect?

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Urinary System Questions and Answers Questions

Question 1 of 5

The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication. The patient will begin taking cefaclor for treatment of an acute infection. The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect?

Correct Answer: A

Rationale: Erythromycin reduces cefaclor's effectiveness, requiring discussion with the provider.

Question 2 of 5

The nurse is caring for a patient who has metabolic alkalosis and is experiencing fluid overload. The provider orders acetazolamide (Diamox). The patient reports right-sided flank pain after taking this medication. The nurse suspects that this patient has developed which condition?

Correct Answer: D

Rationale: Flank pain suggests renal calculi, a side effect of acetazolamide therapy.

Question 3 of 5

Which hormone primarily regulates water reabsorption in the collecting duct?

Correct Answer: B

Rationale: ADH increases water reabsorption in the collecting duct.

Question 4 of 5

A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio. Which action should the nurse take first?

Correct Answer: A

Rationale: High BUN/creatinine ratio may reflect diet or dehydration; assessing diet is the first step.

Question 5 of 5

A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the client's right lower back. Which action should the nurse take?

Correct Answer: B

Rationale: Ice reduces bruising from lithotripsy, a common post-procedure effect.

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