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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale
Prednisone is a corticosteroid, and one of its effects can be fluid retention, which can lead to an increase in blood pressure. Therefore, lowered blood pressure is not typically associated with prednisone use.
Choice B rationale
Abdominal distention can be a side effect of prednisone. This can occur due to fluid retention or increased appetite, both of which can be effects of prednisone.
Choice C rationale
Prednisone can actually cause an increase in blood glucose levels, not a reduction. This is because prednisone can stimulate the liver to release extra glucose and can also make body tissues less sensitive to insulin.
Choice D rationale
Weight gain, not weight loss, is a common side effect of prednisone. This can occur due to increased appetite and fluid retention.

A. No action is required as this is the desired therapeutic effect. B. Withhold the dose and contact the doctor for daily stool count parameters. C. Administer the medication since diarrhea is a common side effect. D. Remove fall precautions due to changes in mental status.

Correct Answer is A

Explanation

Choice A rationale
Lactulose is used to treat hepatic encephalopathy, a condition that affects patients with liver failure. It works by reducing the absorption of ammonia in the gut. Having loose, watery stools is a desired therapeutic effect of lactulose. Therefore, no action is required if the patient is oriented and has had 6 loose, watery stools since 07007.
Choice B rationale
Withholding the dose and contacting the doctor for daily stool count parameters is not necessary in this situation. The patient is currently oriented, which suggests that the lactulose is effectively managing their hepatic encephalopathy.
Choice C rationale
Administering the medication because diarrhea is a common side effect is not the correct course of action. The presence of loose, watery stools is not merely a side effect, but a desired therapeutic effect of lactulose in the treatment of hepatic encephalopathy.
Choice D rationale
Removing fall precautions due to changes in mental status is not necessary in this situation. The patient is currently oriented, which suggests that the lactulose is effectively managing their hepatic encephalopathy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 client has just been prescribed prednisone. Which of the following assessment findings could be attributed to this medication?

Correct Answer is B

Explanation

A patient with liver failure has been admitted with hepatic encephalopathy and is prescribed lactulose every 2 hours. The patient is currently oriented and has had 6 loose, watery stools since 0700. The 1400 dose of lactulose is due. What should be the nurse’s next course of action?

Correct Answer is A

Explanation

A patient started propylthiouracil therapy a month ago and is here for a follow-up lab test (results shown below). Which lab value should the nurse be most concerned about?

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?

The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential side effects. Which statement should the nurse include in the education to the patient?

Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?

Before administering amphotericin B to a patient, what is the most crucial step a nurse should take?

A nurse is about to give a client amoxicillin but discovers that the client had a rash when taking penicillin in the past. What should the nurse’s next step be?

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?

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

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