When the nurse cares for a patient receiving an antibiotic, what instructions will the nurse provide no matter what medication is prescribed? (Select all that apply.)
A) Drink plenty of fluids to avoid kidney damage.
B) Take all medications as prescribed until all of the medication is gone.
C) Report difficulty breathing, severe headache, or changes in urine output.
D) Take antibiotic with food to avoid gastrointestinal (GI) upset.
E) Take safety precautions such as changing position slowly.
A, B, C
Feedback:
The patient taking any antibiotic needs to drink plenty of fluids to avoid kidney damage and improve excretion of the metabolized drug; take all medications as prescribed until all of the medication is gone to avoid developing a resistant strain of bacteria; and report any difficulty breathing, severe headache, or changes in urine output because these are primary manifestations of serious adverse effects. Although some antibiotics need to be taken with food, others may be best taken on an empty stomach so this does not apply to all antibiotics. Not all antibiotics are associated with central nervous system (CNS) toxicity so taking safety precautions need only be included in patient teaching if they are taking a drug associated with CNS adverse effects.
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