A young adult female who is taking metronidazole (Flagyl) to treat trichomoniasis calls the nurse to report severe headache, flushing, palpitations, cramping, and nausea. What will the nurse do next?
a. Ask about alcohol consumption.
b. Reassure her that these are harmless side effects.
c. Tell her that this signals a worsening of her infection.
d. Tell her to go to the emergency department immediately.
ANS: A
Patients who are taking metronidazole can experience a disulfiram-like reaction when they drink alcohol. These are not harmless adverse effects or a sign of worsening of her infection.
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