A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?

"Drink 1,000 milliliters of fluid daily."

“Take this medication with an antacid."

"Expect urine to turn dark orange."

"Monitor for tendon pain."

Answer and Explanation

The Correct Answer is D

A.   While staying hydrated is important for overall health and can help with urinary tract infections, the recommended fluid intake for clients on ciprofloxacin is not specifically 1,000 milliliters. The more general advice is to drink plenty of fluids to help flush out bacteria from the urinary tract. The nurse should emphasize the importance of hydration but not specify a particular amount like 1,000 milliliters unless otherwise directed.
B.   Ciprofloxacin should not be taken with antacids that contain calcium, magnesium, or aluminum because these can interfere with the absorption of the medication, reducing its effectiveness. Antacids should be taken at least 2 hours before or 6 hours after taking ciprofloxacin to avoid interactions.
C.   Ciprofloxacin does not typically cause urine to turn dark orange. This side effect is more commonly associated with other medications, such as rifampin. The nurse should not expect ciprofloxacin to change the color of urine and should clarify any specific effects related to the medication.
D.   Ciprofloxacin and other fluoroquinolones are associated with an increased risk of tendonitis and tendon rupture, particularly in the Achilles tendon. The nurse should instruct the client to report any new or worsening tendon pain, swelling, or discomfort immediately.

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Correct Answer is C

Explanation

A. This refers to irregular bleeding between menstrual periods. While anorexia nervosa can lead to amenorrhea (the absence of menstruation) due to hormonal imbalances from severe weight loss and malnutrition, metrorrhagia is not a typical finding associated with anorexia nervosa.
B. This is a condition characterized by elevated levels of potassium in the blood. It is not a common finding in anorexia nervosa. Instead, clients with anorexia nervosa are more likely to have electrolyte imbalances such as hypokalemia (low potassium levels), especially if they engage in behaviors like vomiting or excessive use of laxatives.
C. This is a common finding in clients with anorexia nervosa. Constipation occurs due to inadequate intake of food and fluids, which results in decreased bowel motility. Malnutrition and dehydration from restricted intake can also contribute to this problem.
D. This refers to an abnormally fast heart rate. While tachycardia can occur in various conditions, in the context of anorexia nervosa, clients may actually exhibit bradycardia (slow heart rate) rather than tachycardia. The low body weight and malnutrition associated with anorexia can lead to a slowed heart rate as part of the body's response to starvation and decreased metabolic activity.

A. Urinary urgency without frequency B. Loss of urine when laughing, coughing, sneezing C. Urinary hesitancy D. Hematuria

Correct Answer is B

Explanation

A. Urinary urgency refers to a sudden, compelling need to urinate, which may or may not be accompanied by frequency (i.e., the need to urinate often). Urgency alone does not necessarily indicate urinary incontinence but rather may suggest conditions like overactive bladder or urge incontinence. This finding is not the most characteristic sign of urinary incontinence but rather a symptom of specific types of incontinence or bladder conditions.
B. Loss of urine when laughing, coughing, or sneezing is indicative of stress urinary incontinence. This type of incontinence occurs when physical activities that increase abdominal pressure (such as coughing, sneezing, or laughing) lead to involuntary leakage of urine. It is a common and classic symptom of stress urinary incontinence.
C. Urinary hesitancy refers to difficulty starting the urine stream or a delay in beginning urination. This symptom is more commonly associated with obstructive urinary conditions or prostatic issues in males rather than incontinence. It does not typically characterize urinary incontinence, which is more related to involuntary leakage rather than difficulties initiating urination.
D. Hematuria is the presence of blood in the urine and can be a sign of various urological issues such as infections, stones, or tumors. It is not a typical finding associated with urinary incontinence, which involves involuntary leakage rather than the presence of blood.

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A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?

Nursing Test Bank

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Explanation

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