A client taking metronidazole telephones the nurse to report that he has a strange metallic taste in his mouth. The nurse correctly responds by saying:
1. "You may also experience changes in your sense of smell. Do not be alarmed."
2. "This is a common side effect and is produced by the medication."
3. "This indicates an allergic response to the drug; please come in immediately."
4. "This could be an indication of a problem with your kidneys. Increase your fluid intake to 2,000 mL per day."
Correct Answer: 2
Rationale 1: Changes in sense of smell should not occur.
Rationale 2: Some patients experience a metallic taste.
Rationale 3: Metallic taste is not a symptom of an allergic response.
Rationale 4: Increasing fluid intake will not alleviate this symptom.
Global Rationale: The most common adverse effects are anorexia, nausea, vomiting, diarrhea, abdominal pain, dizziness, and headache. Dryness of the mouth and an unpleasant metallic taste may be experienced. Sense of smell is not altered. Increasing fluid intake is not indicated. This is an adverse effect, not an allergic response.
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