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 C
Explanation
A. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to reduce pain and inflammation. While it does not directly affect bowel obstruction, NSAIDs can cause gastrointestinal irritation and potentially worsen symptoms in some patients. However, it is not the primary medication to withhold due to a small bowel obstruction.
B. Omeprazole is a proton pump inhibitor (PPI) that reduces stomach acid. It is generally safe to use in the context of a small bowel obstruction because it does not affect bowel motility directly. It might be used to manage symptoms related to acid reflux or gastritis, which could be secondary issues in a patient with SBO.
C. Senna is a stimulant laxative used to promote bowel movements. In the context of a small bowel obstruction, administering a laxative like Senna is contraindicated because it can worsen the obstruction by increasing bowel motility or causing further distention. The primary goal in treating an SBO is to relieve the obstruction, and using a laxative could complicate the situation.
D. Zolpidem is a sedative-hypnotic used for short-term management of insomnia. It does not directly impact bowel function or obstruction. While not ideal for all patients, it does not specifically exacerbate a small bowel obstruction.
Correct Answer is ["A","B","C","D"]
Explanation
A. This helps to remove dirt, pesticides, and harmful bacteria that may be present on the surface of the vegetables.
B. This ensures that any bacteria that may have grown on the food are killed.
C. Unpasteurized dairy products may contain harmful bacteria, such as Salmonella and Listeria.
D. This helps to prevent the growth of bacteria.
E. Cooked foods should be kept hot (above 60°C/140°F) or cold (below 4°C/40°F) to prevent bacterial growth.
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