The nurse is caring for a client receiving ciprofloxacin (Cipro) for the treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?
This medication can cause endometrial cancers.
This drug has a black box warning for causing tendon rupture.
This medication can cause thromboembolic events.
This medication can cause thrombocytopenia.
The Correct Answer is B
A. There is no established link between ciprofloxacin and endometrial cancers; this warning does not apply.
B. Ciprofloxacin has a black box warning for the risk of tendon rupture and tendinopathy, particularly in older adults and those concurrently taking corticosteroids.
C. Thromboembolic events are not specifically associated with ciprofloxacin; thus, this warning is not applicable.
D. Thrombocytopenia is a potential side effect of various medications but is not the primary concern associated with ciprofloxacin use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Rationale:
- Oxygen administration: This is a critical intervention to improve oxygenation during an acute asthma exacerbation.
- Inhaled short-acting beta-2 agonists: These medications rapidly relax the airway smooth muscle, reducing bronchoconstriction and improving airflow.
- Inhaled Corticosteroids: These medications reduce inflammation in the airways, preventing further airway narrowing and improving lung function over time.
- Oral Decongestants and Expectorants: These medications are not typically used in the acute management of asthma exacerbations. They can have side effects and may not be effective in improving airway function.
Correct Answer is D
Explanation
A. Galantamine is a reversible acetylcholinesterase inhibitor and would not be effective in treating a cholinergic crisis.
B. Physostigmine is also a reversible acetylcholinesterase inhibitor and would not be suitable for reversing a cholinergic crisis.
C. Flumazenil is a benzodiazepine antagonist used to reverse benzodiazepine effects, not cholinergic crises.
D. Atropine is an anticholinergic medication that is effective in reversing the effects of excessive acetylcholine during a cholinergic crisis, making it the appropriate choice in this situation.
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