Question

which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole for treatment of trichomonas vaginitis? (select all that apply.)
a avoid drinking alcohol while taking this medication.
b do not abruptly discontinue the medication; taper use.
c increase fluid intake, especially cranberry juice.
d use condoms until treatment is completed.
e ensure that all sexual partners are treated at the same time.
f check blood pressure daily to detect hypertension.

Explanation:

• Option A: Oral metronidazole (used for Trichomonas) interacts with alcohol, causing adverse effects, so avoiding alcohol is correct.
• Option B: Metronidazole for Trichomonas is taken for a short course (e.g., 7 days) and doesn’t require tapering; abrupt discontinuation isn’t typical for this short - term use, so this is incorrect.
• Option C: Increasing fluid intake, including cranberry juice, helps flush the urinary tract and is beneficial, so this is correct.
• Option D: Using condoms until treatment is complete reduces the risk of reinfection or transmitting the infection, so this is correct.
• Option E: Trichomoniasis is a sexually transmitted infection, so treating all sexual partners simultaneously prevents reinfection, so this is correct.
• Option F: Metronidazole doesn’t typically cause hypertension, so checking blood pressure daily for this reason is incorrect.

Answer:

A. Avoid drinking alcohol while taking this medication.
C. Increase fluid intake, especially cranberry juice.
D. Use condoms until treatment is completed.
E. Ensure that all sexual partners are treated at the same time.