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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vitamin C significantly enhances the absorption of non-heme iron (the type of iron found in plant- based foods) by reducing iron to a more absorbable form and forming a complex with it that facilitates absorption in the intestines. Consuming foods rich in vitamin C, such as citrus fruits, strawberries, or bell peppers, along with iron-rich foods, can improve iron absorption.
B. While fiber is an important component of a healthy diet, it can inhibit iron absorption. High-fiber foods may bind with iron and reduce its bioavailability. For optimal iron absorption, it's advisable to consume high-fiber foods separately from iron-rich meals or to ensure a balanced intake.
C. Vitamin A is essential for various bodily functions, including vision and immune function. While it does not directly enhance iron absorption, it plays a role in overall health and can influence iron metabolism. However, its role in iron absorption is less direct compared to vitamin C.
D. Oxalates, found in foods like spinach, rhubarb, and certain nuts, can bind to iron and inhibit its absorption. They form insoluble complexes with iron, making it less available for absorption in the intestines.
Correct Answer is C
Explanation
A. The client may have difficulty voiding despite being taken to the bathroom, especially if there is an underlying issue such as urinary retention or an obstruction. Therefore, this step is usually taken after assessing the situation further.
B. Inserting a straight catheter is an invasive procedure that should not be the initial action. It is typically done after other non-invasive measures have been taken to evaluate the reason for the lack of voiding. Straight catheterization can be considered if other methods do not resolve the issue or if there is a clear indication of urinary retention that needs immediate intervention.
C. Performing a bladder scan is the appropriate first step. A bladder scan, or portable ultrasound, helps assess the amount of urine in the bladder and determines if the client is retaining urine. This non- invasive procedure can provide valuable information about the presence of urinary retention, which guides further intervention.
D. Increasing fluid intake might be appropriate if the client is dehydrated or has not been drinking enough fluids. However, this step is not the first action to take if the client has not voided for 8 hours. The priority is to determine if there is a physiological issue, such as urinary retention, before increasing fluids.
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