The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure.
What instructions should be included in the teaching plan?
Crush and mix the tablets with pudding if you have trouble swallowing the tablets.
Increase fluid intake while taking the medication.
Use nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication.
Report any tendon pain or swelling to the healthcare provider immediately.
Limit exposure to sunlight and avoid tanning beds.
Correct Answer : B,D,E
Choice A rationale
Crushing and mixing ciprofloxacin hydrochloride tablets with pudding is not recommended. Ciprofloxacin is an antibiotic used to treat a variety of bacterial infections, including anthrax. It should be taken as directed by a healthcare provider, usually every 12 hours with a full glass of
water. Crushing the tablets can lead to a sudden release of the drug, causing side effects or an overdose.
Choice B rationale
Increasing fluid intake while taking the medication is advisable. Ciprofloxacin can cause crystalluria, which are crystals in the urine, in some patients. Drinking plenty of fluids while taking this medication helps to prevent the formation of these crystals.
Choice C rationale
Using nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication is not recommended. Ciprofloxacin can increase the effects of certain medications, including NSAIDs, leading to an increased risk of side effects such as gastrointestinal bleeding.
Choice D rationale
Reporting any tendon pain or swelling to the healthcare provider immediately is crucial. Ciprofloxacin has been associated with an increased risk of tendonitis and tendon rupture, particularly in older adults and those taking corticosteroids.
Choice E rationale
Limiting exposure to sunlight and avoiding tanning beds is important. Ciprofloxacin can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should wear protective clothing and use sunscreen when outdoors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Codeine is an opioid medication that can cause drowsiness and dizziness. This can increase the risk of falls, particularly in older adults or those with balance or mobility issues. Therefore, it is important to instruct the client to request assistance when ambulating to prevent falls.
Choice B rationale
While constipation is a common side effect of opioid medications like codeine, and a stool softener or laxative may be helpful in managing this side effect, it is not the highest priority nursing action. The risk of falls due to drowsiness or dizziness is a more immediate safety concern.
Choice C rationale
While it is important for the client to notify the nurse if the pain is not relieved, this is not the highest priority nursing action. The safety of the client is the primary concern, and preventing falls by providing assistance with ambulation is a more immediate need.
Choice D rationale
Advising the client that the medication should start to work in about 30 minutes is an important part of patient education, but it is not the highest priority nursing action. The safety of the client is the primary concern, and preventing falls by providing assistance with ambulation is a more immediate need.
Correct Answer is A
Explanation
Choice A rationale
Tamsulosin is an alpha-blocker that relaxes the smooth muscles of the prostate and bladder neck, improving urine flow. However, it can also cause hypotension, dizziness, and fainting as adverse effects. Therefore, monitoring blood pressure is essential for clients taking tamsulosin.
Choice B rationale
While assessing the client’s urine output is an important part of monitoring a client with benign prostatic hyperplasia, it is not specifically related to monitoring for adverse reactions to tamsulosin.
Choice C rationale
Performing a bladder scan can be useful in assessing the client’s urinary retention, a common symptom of benign prostatic hyperplasia. However, it is not specifically related to monitoring for adverse reactions to tamsulosin.
Choice D rationale
Obtaining the client’s daily weights can be useful in monitoring fluid balance, but it is not specifically related to monitoring for adverse reactions to tamsulosin.
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