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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 – 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.

A. Opioid toxicity triad B. Achilles tendon rupture C. Photosensitivity D. Yellow or brown tooth discoloration

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

Explanation

A. Incorrect: Opioid toxicity triad (respiratory depression, coma, pinpoint pupils) is not related to doxycycline.

B. Incorrect: Achilles tendon rupture is a complication of fluoroquinolones, not doxycycline.

C. Correct: Photosensitivity (increased sunburn risk) is a known side effect of doxycycline.

D. Correct: Doxycycline can cause permanent tooth discoloration if taken in children under 8 years old or during pregnancy.

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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.)

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