A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?
"Drink 1,000 milliliters of fluid daily."
“Take this medication with an antacid."
"Expect urine to turn dark orange."
"Monitor for tendon pain."
The Correct Answer is D
A. While staying hydrated is important for overall health and can help with urinary tract infections, the recommended fluid intake for clients on ciprofloxacin is not specifically 1,000 milliliters. The more general advice is to drink plenty of fluids to help flush out bacteria from the urinary tract. The nurse should emphasize the importance of hydration but not specify a particular amount like 1,000 milliliters unless otherwise directed.
B. Ciprofloxacin should not be taken with antacids that contain calcium, magnesium, or aluminum because these can interfere with the absorption of the medication, reducing its effectiveness. Antacids should be taken at least 2 hours before or 6 hours after taking ciprofloxacin to avoid interactions.
C. Ciprofloxacin does not typically cause urine to turn dark orange. This side effect is more commonly associated with other medications, such as rifampin. The nurse should not expect ciprofloxacin to change the color of urine and should clarify any specific effects related to the medication.
D. Ciprofloxacin and other fluoroquinolones are associated with an increased risk of tendonitis and tendon rupture, particularly in the Achilles tendon. The nurse should instruct the client to report any new or worsening tendon pain, swelling, or discomfort immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking the stockings for wrinkles is an important action. Wrinkles or folds in the stockings can create areas of increased pressure, which might lead to discomfort or skin breakdown and reduce the effectiveness of the stockings in preventing DVT. Ensuring that the stockings are smooth and free from wrinkles helps maintain proper compression and comfort.
B. Measuring the size of the client's foot is not typically required for properly fitting antiembolic stockings. The key measurements for antiembolic stockings are usually related to the calf, thigh, and sometimes the knee, not the foot.
C. Removing the stockings once each day is not usually recommended unless specifically instructed by a healthcare provider. Antiembolic stockings are generally worn continuously throughout the day and removed only for specific reasons, such as skin assessment or hygiene.
D. Applying the stockings while the client is sitting in a chair is not the preferred method. Antiembolic stockings should be applied while the client is lying down or in a supine position. This helps ensure that the stockings are applied evenly and that they provide consistent compression without causing undue pressure or discomfort.
Correct Answer is B
Explanation
The current dietary guidelines for adults recommend consuming about 2 1/2 cups of vegetables per day. This amount is consistent with the Dietary Guidelines for Americans and the MyPlate recommendations, which suggest that a variety of vegetables should be consumed daily to meet nutritional needs. This amount provides a balance of essential vitamins, minerals, and fiber.
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