A nurse is planning to administer by intravenous (IV) route to a client who has cystitis. Which of the following actions should the nurse take?

Administer a concentrated solution.

Choose a small peripheral vein for administration.

Infuse the medication over 1 hour.

Infuse the solution through the primary IV fluid's tubing.

Answer and Explanation

The Correct Answer is C

A. Incorrect: Administering a concentrated solution can increase the risk of phlebitis and irritation. IV antibiotics are usually diluted before administration.

B. Incorrect: Choosing a small peripheral vein is not ideal for IV antibiotics, as they may cause irritation and phlebitis. A larger vein should be selected.

C. Correct: Most IV antibiotics, including those for cystitis, should be infused over 30-60 minutes to minimize the risk of adverse reactions.

D. Incorrect: Infusing through primary IV tubing is not always appropriate, as some antibiotics are incompatible with primary IV fluids. A separate IV line or secondary tubing is recommended.

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Correct Answer is ["B","D"]

Explanation

A. Incorrect: Excessive nighttime sweating is not an adverse effect of ciprofloxacin.

B. Correct: Ciprofloxacin can cause tendonitis and Achilles tendon rupture, especially in older adults.

C. Incorrect: Sedation is not a known side effect of ciprofloxacin.

D. Correct: Ciprofloxacin can cause superinfections, such as fungal overgrowth, leading to yeast infections (characterized by white, cottage cheese-like lesions in the genital area).

A. Incorrect: Hemorrhage is not associated with isoniazid. B. Correct: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Clients experiencing numbness and tingling should be assessed for neuropathy and may need pyridoxine supplementation. C. Incorrect: Achilles tendon rupture is a complication of fluoroquinolones, not isoniazid

Correct Answer is D

Explanation

A. Incorrect: Achilles tendon rupture is not a complication of trimethoprim-sulfamethoxazole.

B. Incorrect: Abstinence syndrome (withdrawal symptoms) occurs with opioid dependence, not antibiotics.

C. Incorrect: Hypokalemia is not associated with this medication.

D. Correct: Trimethoprim can cause hyperkalemia by decreasing potassium excretion, especially in older adults or those with kidney disease.

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A nurse is planning to administer by intravenous (IV) route to a client who has cystitis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a severe urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following information about adverse reactions should the nurse include? (Select All That Apply.)

Correct Answer is ["B","D"]

Explanation

A. Incorrect: Deep vein thrombosis (DVT) is not a known complication of isoniazid.

Correct Answer is D

Explanation

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