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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 A

Explanation

A. Correct: Fluoroquinolones (e.g., ciprofloxacin, levofloxacin) can cause tendonitis and tendon rupture, especially in the Achilles tendon. The medication should be stopped immediately, and the client should avoid weight-bearing activities.

B. Incorrect: Increasing physical activity can worsen tendon damage and increase the risk of rupture.

C. Incorrect: Increasing the dose would exacerbate the side effects.

D. Incorrect: Fluoroquinolones must be taken as prescribed but should be discontinued if serious side effects occur.

A. 1130 B. 1100 C. 1000 D. 1030

Correct Answer is D

Explanation

A. Incorrect: 1130 is too late for an accurate peak level.

B. Incorrect: 1100 is later than necessary for a peak level.

C. Incorrect: 1000 is when the infusion ends, but the drug has not yet reached peak levels in the blood.

D. Correct: Gentamicin peak levels are typically measured 30 minutes after the infusion is completed. Since the infusion starts at 0900 and runs for 60 minutes (until 1000), the peak level should be drawn at 1030.

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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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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is administering gentamicin by intravenous (IV) route at 0900. The medication will take 60 minutes to infuse. When should the nurse obtain a blood sample for a peak blood level of gentamicin?

Correct Answer is D

Explanation

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