A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin.

What should the nurse include in the patient’s education?

You can take antacids with levofloxacin to reduce gastrointestinal discomfort.

Levofloxacin should be taken on an empty stomach to enhance absorption.

You can take nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis pain.

You should monitor your blood glucose levels more frequently while on levofloxacin.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While antacids can help reduce gastrointestinal discomfort, they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice B rationale
Taking levofloxacin on an empty stomach can enhance absorption, but it does not affect blood glucose levels.
Choice C rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be taken for arthritis pain, but they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice D rationale
Levofloxacin can cause changes in blood glucose levels, so patients with diabetes who are on oral hypoglycemic medication should monitor their blood glucose levels more frequently while on levofloxacin.

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Correct Answer is A

Explanation

Choice A rationale
Metformin is an oral antidiabetic medication that is typically withheld on the morning of surgery due to the risk of lactic acidosis, especially if the surgery involves the use of contrast dye.
Choice B rationale
Metoprolol is a beta-blocker used to treat hypertension and other heart conditions. It is typically continued up to and including the day of surgery to maintain heart rate and blood pressure control.
Choice C rationale
Prednisone is a corticosteroid medication. If a patient is on long-term corticosteroid therapy, it is typically continued on the day of surgery to prevent adrenal insufficiency.
Choice D rationale
Levothyroxine is a thyroid hormone replacement medication. It is typically continued on the day of surgery to maintain thyroid hormone levels.

A. Collect a urine sample. B. Ensure the patient is on a cardiac monitor. C. Collect a blood culture sample. D. Check baseline vital signs, including temperature.

Correct Answer is C

Explanation

Choice A rationale
While collecting a urine sample can be important in diagnosing certain conditions, it is not the most important action to take prior to administering an antibiotic for pneumonia.
Choice B rationale
Ensuring the patient is on a cardiac monitor is not the most crucial action prior to administering an antibiotic for pneumonia. While it’s important to monitor the patient’s vital signs, it’s not specifically related to the administration of antibiotics.
Choice C rationale
Collecting a blood culture sample is the most important action to take prior to administering an antibiotic for pneumonia. This is to identify the specific bacteria causing the infection, which can help in selecting the most effective antibiotic.
Choice D rationale
Checking baseline vital signs, including temperature, is important but not the most crucial action prior to administering an antibiotic for pneumonia. It’s part of the overall assessment but does not directly impact the choice or effectiveness of the antibiotic.

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A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin.

What should the nurse include in the patient’s education?