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The nurse is caring for a client receiving ciprofloxacin for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?

A.

This medication can cause thromboembolic events

B.

This drug has a black box warning for causing tendon rupture

C.

This medication can cause endometrial cancers

D.

This medication can cause breast cancer

Answer and Explanation

The Correct Answer is B

A. Thromboembolic events: This is not a black box warning for ciprofloxacin.

B. This drug has a black box warning for causing tendon rupture: Ciprofloxacin, a fluoroquinolone, has a black box warning for the risk of tendonitis and tendon rupture, especially in older adults or those on corticosteroids.

C. Endometrial cancers: Ciprofloxacin is not associated with cancer.

D. Breast cancer: There is no link between ciprofloxacin and breast cancer.


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Related Questions

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

The nurse understands that neomycin may cause serious adverse effects such as ototoxicity and

pseudomembranous colitis.

i. Ototoxicity: Neomycin is part of the aminoglycoside class of antibiotics, which are known to cause ototoxicity, potentially leading to hearing loss, tinnitus, or balance issues. The risk is particularly high in young children or when administered at high doses over long periods.

Rationale for other options:

  • Constipation: This is not a known serious adverse effect of neomycin.
  • Hypercalcemia: Elevated calcium levels (hypercalcemia) are not typically associated with neomycin use.
  • Thrombocytopenia: While aminoglycosides can occasionally cause hematologic effects, thrombocytopenia (low platelet count) is not a common adverse effect of neomycin.

ii. Pseudomembranous colitis: Neomycin, like other antibiotics, can disrupt the normal balance of gut flora, leading to an overgrowth of Clostridioides difficile, which can cause pseudomembranous colitis, a severe inflammatory condition of the colon.

Rationale for other options:

  • Hypotrichosis: This refers to reduced hair growth and is not related to neomycin. It can cause hypertrichosis instead.
  • Photosensitivity: Neomycin is not known to cause photosensitivity reactions.
  • Hyperpigmentation: Neomycin typically causes hypopigmentation.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"D"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Anemia Due to CKD (Chronic Kidney Disease)

  • Epogen: Epogen (epoetin alfa) is used to treat anemia caused by chronic kidney disease (CKD) by stimulating red blood cell production.

Iron Deficiency Anemia

  • Ferrous Sulfate: Ferrous sulfate is used to treat iron deficiency anemia by increasing iron stores necessary for red blood cell production.Pernicious Anemia
  • Cyanocobalamin: Pernicious anemia is caused by a deficiency in vitamin B12, so cyanocobalamin (vitamin B12) is used for treatment.

Folate Deficiency Anemia

  • Folic Acid: Folic acid deficiency anemia is treated with folic acid supplements.

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