The nurse provides home care instructions for a patient who will take a high dose of azithromycin after discharge from the hospital. Which statement by the patient indicates understanding of the teaching?
a. "I may take antacids 2 hours before taking this drug."
b. "I should take acetaminophen for fever or mild pain."
c. "I should expect diarrhea to be a common, mild side effect."
d. "I should avoid dairy products while taking this drug."
ANS: A
Azithromycin peak levels may be reduced by antacids when taken at the same time so patients should be cautioned to take antacids 2 hours before or 2 hours after taking the drug. High-dose azithromycin carries a risk for hepatotoxicity when taken with other potentially hepatotoxic drugs such as acetaminophen. Diarrhea may indicate pseudomembranous colitis and should be reported. There is no restriction for dairy products when taking azithromycin.
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