A client who is taking calcium supplements receives a prescription for ciprofloxacin for a respiratory infection. What must the nurse include in client teaching?

A Consume extra fluids while taking the ciprofloxacin to prevent hypercalciuria.

B Take the calcium either six hours before or two hours after taking the ciprofloxacin.

C Stop taking the calcium supplements while taking the ciprofloxacin.

D Take the two medications together to increase the absorption of both.

Answer and Explanation

The Correct Answer is B

A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.

B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.

C) Stopping calcium supplements may not be necessary, but proper timing is crucial.

D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.

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Correct Answer is A

Explanation

A) Antibiotics can interact with warfarin, potentially affecting the INR, so dose adjustments may be necessary.

B) Pink urine is not an expected side effect of warfarin; this statement is inaccurate.

C) Eating spinach to increase iron count is not a relevant action related to warfarin or INR levels.

D) Warfarin interacts with many substances, including herbal remedies and aspirin. Notifying the provider before taking new medications or supplements is crucial for proper management.

A. Instruct the client to notify the nurse if they have any tingling in their toes. B. Interpret the peak and trough levels. C. Assess the client's urine output. D. Consult the provider about the need for a less nephrotoxic medication.

Correct Answer is B

Explanation

a) Tingling in the toes may be indicative of peripheral neuropathy but is not specifically related to elevated BUN and serum creatinine levels.

b) Elevated BUN and serum creatinine levels suggest potential renal impairment, and interpreting peak and trough levels of vancomycin is essential to assess the drug's impact on renal function.

c) Assessing urine output is important in evaluating renal function, but the specific action related to the elevated BUN and creatinine levels is to interpret vancomycin levels.

d) Consulting the provider about the need for a less nephrotoxic medication may be a consideration, but understanding the impact of vancomycin on renal function through peak and trough levels is a crucial initial step.

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A client who is taking calcium supplements receives a prescription for ciprofloxacin for a respiratory infection. What must the nurse include in client teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by a client indicates an understanding of self-care precautions when taking warfarin?

Correct Answer is A

Explanation

A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

Correct Answer is B

Explanation

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