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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.)

Expect excessive nighttime perspiration.

Observe for redness and swelling of the Achilles tendon.

Monitor for sedation.

Inspect the genital area for cottage cheese-like lesions.

Answer and Explanation

Correct Answer : B,D

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).

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Correct Answer is C

Explanation

A. Incorrect: COX-1 and COX-2 enzyme inhibition is the mechanism of NSAIDs (e.g., ibuprofen), not gentamicin.

B. Incorrect: This describes the mechanism of ACE inhibitors (e.g., enalapril), not gentamicin.

C. Correct: Gentamicin is an aminoglycoside antibiotic that inhibits bacterial protein synthesis, leading to bacterial cell death.

D. Incorrect: This describes the action of angiotensin II receptor blockers (ARBs), not gentamicin.

A. Administer the medication into the subcutaneous tissue. B. Tell the client to expect a temporary rash to develop following the injection. C. Monitor the client for 30 minutes following the injection. D. Ask the client about an allergy to penicillin before administering the medication.

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

Explanation

A. Incorrect – Blood creatinine: Measures kidney function but does not diagnose UTIs or identify the causative organism.

B. Incorrect – Blood culture: Used to detect bacteria in the bloodstream (e.g., sepsis) but does not identify a UTI-causing pathogen.

C. Correct – Urine culture and sensitivity: This test identifies the specific bacteria causing the UTI and determines which antibiotics will be most effective for treatment.

D. Incorrect – Complete Blood Count (CBC): Can show elevated WBCs, indicating infection, but does not determine the pathogen.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is starting a course of gentamicin IV for a bacterial infection. Which of the following is the correct expected pharmacological action for this medication?

Correct Answer is C

Explanation

A nurse is preparing to administer a drug via an intramuscular (IM) route to an adult client who has a bacterial infection. Which actions should the nurse plan to take? (Select All That Apply.)

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

Explanation

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