The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instruction(s) should be included in the teaching plan? (Select all that apply.)
Crush and mix the tablets with pudding if you have trouble swallowing the tablets.
Use non-steroidal anti-inflammatory drugs (NSAID) to relieve mild joint aches and pains caused by the medication.
Report any tendon pain or swelling to the healthcare provider immediately.
Increase fluid intake while taking the medication.
Correct Answer : C,D
Choice A rationale: Crushing ciprofloxacin tablets may interfere with their efficacy, and it is generally not recommended to alter the dosage form without consulting a healthcare provider.
Choice B rationale: Ciprofloxacin may cause joint aches and pains, but using non-steroidal anti-inflammatory drugs (NSAIDs) is generally not advised as they can interact with the medication and increase the risk of adverse effects.
Choice C rationale: Ciprofloxacin is associated with the risk of tendonitis and tendon rupture. Therefore, any tendon pain or swelling should be reported immediately to the healthcare provider.
Choice D rationale: Increasing fluid intake while taking ciprofloxacin can help prevent crystalluria, a potential side effect of the medication.
Choice E rationale: Ciprofloxacin can make the skin more sensitive to sunlight, leading to an increased risk of sunburn. Patients should limit exposure to sunlight and avoid tanning beds while taking this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F"]
No explanation
Correct Answer is A
Explanation
Choice A rationale: Baclofen is a muscle relaxant used to reduce muscle spasticity in conditions such as multiple sclerosis. One of the common side effects of baclofen is dizziness or orthostatic hypotension, which can increase the risk of falls. Therefore, the nurse should advise the client to move slowly and cautiously when rising and walking to prevent falls and injury.
Choice B rationale: Monitoring intake and output every 8 hours is not directly related to the administration of baclofen.
Choice C rationale: Ensuring the client knows to stop baclofen before using other antispasmodics is not the correct intervention. Baclofen should not be abruptly discontinued without medical advice, and its use should be discussed with the healthcare provider.
Choice D rationale: Evaluating muscle strength every 4 hours may be part of the client's overall care plan, but it is not directly related to the administration of baclofen. Muscle strength evaluation is more pertinent for assessing the progression of multiple sclerosis and its effects on muscle function.
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