A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin.

What should the nurse include in the patient’s education?

You can take antacids with levofloxacin to reduce gastrointestinal discomfort.

Levofloxacin should be taken on an empty stomach to enhance absorption.

You can take nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis pain.

You should monitor your blood glucose levels more frequently while on levofloxacin.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While antacids can help reduce gastrointestinal discomfort, they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice B rationale
Taking levofloxacin on an empty stomach can enhance absorption, but it does not affect blood glucose levels.
Choice C rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be taken for arthritis pain, but they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice D rationale
Levofloxacin can cause changes in blood glucose levels, so patients with diabetes who are on oral hypoglycemic medication should monitor their blood glucose levels more frequently while on levofloxacin.

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Correct Answer is B

Explanation

Choice A rationale
Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. While it’s important to monitor digoxin levels in patients receiving gentamicin due to the risk of increased digoxin levels, it’s not the most concerning medication.
Choice B rationale
Furosemide is a loop diuretic that can cause ototoxicity, especially when used with aminoglycosides like gentamicin. Therefore, this is the medication the nurse should be most concerned about.
Choice C rationale
Prednisolone is a corticosteroid medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Choice D rationale
Warfarin is an anticoagulant medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.

A. Notify the healthcare provider B. Add promethazine to the allergy list C. Continue to monitor the site D. Stop the IV infusion .

Correct Answer is D

Explanation

Choice A rationale
While notifying the healthcare provider is an important step when an IV has infiltrated, it is not the immediate priority action.
Choice B rationale
Adding promethazine to the allergy list would not be appropriate unless the patient had an allergic reaction to the medication.
Choice C rationale
Continuing to monitor the site would not be the immediate priority action. The nurse should first stop the IV infusion to prevent further damage.
Choice D rationale
The nurse’s priority action should be to stop the IV infusion. This prevents further infiltration and potential tissue damage. After stopping the infusion, the nurse can then take further steps such as notifying the healthcare provider and assessing the patient’s condition.

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A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been newly prescribed gentamicin 120mg, IM, once. After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?

Correct Answer is B

Explanation

The nurse is administering promethazine via an IV pump and notices that the IV has infiltrated and the patient reports a burning sensation at the injection site. What should be the nurse’s priority action?

Correct Answer is D

Explanation

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A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin.

What should the nurse include in the patient’s education?