A patient taking metronidazole (Flagyl) for asymptomatic intestinal amebiasis complains of tingling and numbness of the hands and feet. What action by the nurse is most appropriate?
a. Encourage the patient to exercise to improve circulation.
b. Inform the patient that numbness is a common and reversible side effect.
c. Stress the need to avoid constrictive clothing and crossing the legs.
d. Withhold the drug and notify the prescriber.
ANS: D
The nurse should withhold the drug and notify the prescriber, because these symptoms may indicate neurologic involvement. Numbness is not a common side effect of metronidazole. Encouraging the patient to move the hands and feet frequently to improve circulation would not address the neurologic symptoms. Advising the patient to avoid constrictive clothing and crossing the legs would not address the neurologic symptoms.
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