The nurse is providing patient education to a 26-year-old college student who is being treated for Trichomonas vaginalis with metronidazole (Flagyl). Which statement by the patient indicates understanding of the teaching?
a. "I should not consume alcohol while taking this medication."
b. "If I have dark urine, I should stop taking the drug."
c. "The drug is safe throughout pregnancy."
d. "Vertigo and headaches may occur and are signs of toxicity."
ANS: A
The patient should be advised to avoid drinking alcohol while taking this medication, because it may cause a disulfiram-like reaction. Darkening of the urine may occur but does not warrant discontinuing the drug. The drug is mutagenic for fetuses and should be avoided before and/or during pregnancy. Vertigo and headaches are side effects but are not signs of toxicity.
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