A patient who is taking metronidazole calls the primary care NP to report severe nausea and vomiting along with heart palpitations. The NP should:
a. counsel the patient to take the medication with food.
b. ask the patient about any recent alcohol consumption.
c. reassure the patient that these symptoms will subside.
d. instruct the patient to go to an emergency department for intravenous fluids.
B
Metronidazole can cause a disulfiram-like reaction if taken with alcohol. Mild gastrointestinal upset may be prevented by taking the medication with food. The patient needs to be told not to drink alcohol with this drug to prevent this severe reaction. If the symptoms persist, it may be recommended that the patient go to the emergency department.
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