A nurse is assessing a client who is receiving IV ciprofloxacin to treat a urinary tract infection. Which of the following findings should the nurse identify as the priority to report to the provider?
Nausea and vomiting
Daytime drowsiness
Tendon pain when walking
Photosensitivity
The Correct Answer is C
When assessing a client receiving ciprofloxacin, the nurse should prioritize reporting tendon pain when walking to the provider. Ciprofloxacin is a fluoroquinolone antibiotic that can rarely cause tendonitis or tendon rupture, particularly in the Achilles tendon. Tendon pain, especially when associated with difficulty walking, can be indicative of a serious adverse effect and requires immediate attention and evaluation by the provider.
Nausea and vomiting (A) are common side effects of ciprofloxacin but are typically not considered urgent or life-threatening. They can often be managed with supportive care measures and may not require immediate intervention.
Daytime drowsiness (B) is not typically associated with ciprofloxacin and may be unrelated to the medication. It should be assessed and reported if it persists or is severe, but it is not a priority finding specifically related to ciprofloxacin administration.
Photosensitivity (D) is a known side effect of ciprofloxacin, but it is not typically considered a priority finding unless it is severe or causing significant discomfort. Adequate sun protection measures can help manage photosensitivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Flumazenil is the antidote for diazepam, which is a benzodiazepine. Flumazenil is a selective antagonist that can reverse the sedative effects of benzodiazepines and is commonly used in cases of benzodiazepine overdose or to reverse sedation after procedures.
Naloxone (A) is the antidote for opioid overdose and would not be appropriate for reversing the effects of diazepam.
Atropine (B) is an anticholinergic medication used to increase heart rate and is not specific to the reversal of diazepam sedation.
Neostigmine (D) is a cholinesterase inhibitor used to reverse the effects of non-depolarizing neuromuscular blocking agents and is not indicated for reversing the effects of diazepam.
Correct Answer is ["18.8"]
Explanation
To calculate the rate at which the IV pump should deliver dopamine, we can follow these steps:
Step 1: Convert the weight of the client from pounds to kilograms.
220 lb ÷ 2.2 = 100 kg (rounded to the nearest whole number)
Step 2: Calculate the total dose of dopamine per minute.
5 mcg/kg/min × 100 kg = 500 mcg/min
Step 3: Convert the dose from micrograms (mcg) to milligrams (mg).
500 mcg/min ÷ 1000 = 0.5 mg/min
Step 4: Determine the infusion rate in milliliters per hour (mL/hr).
The total volume of the solution is 250 mL.
The total dose of dopamine is 400 mg.
So, the infusion rate is (0.5 mg/min ÷ 400 mg) × 250 mL = 0.3125 mL/min.
Step 5: Convert the infusion rate from mL/min to mL/hr.
0.3125 mL/min × 60 min/hr = 18.75 mL/hr (rounded to the nearest tenth).
Therefore, the nurse should set the IV pump to deliver 18.8 mL/hr (rounded to the nearest tenth).
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