The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure.
What instructions should be included in the teaching plan?

Crush and mix the tablets with pudding if you have trouble swallowing the tablets.

Increase fluid intake while taking the medication.

Use nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication.

Report any tendon pain or swelling to the healthcare provider immediately.

Limit exposure to sunlight and avoid tanning beds.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale

Crushing and mixing ciprofloxacin hydrochloride tablets with pudding is not recommended. Ciprofloxacin is an antibiotic used to treat a variety of bacterial infections, including anthrax. It should be taken as directed by a healthcare provider, usually every 12 hours with a full glass of

water. Crushing the tablets can lead to a sudden release of the drug, causing side effects or an overdose.

Choice B rationale

Increasing fluid intake while taking the medication is advisable. Ciprofloxacin can cause crystalluria, which are crystals in the urine, in some patients. Drinking plenty of fluids while taking this medication helps to prevent the formation of these crystals.

Choice C rationale

Using nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication is not recommended. Ciprofloxacin can increase the effects of certain medications, including NSAIDs, leading to an increased risk of side effects such as gastrointestinal bleeding.

Choice D rationale

Reporting any tendon pain or swelling to the healthcare provider immediately is crucial. Ciprofloxacin has been associated with an increased risk of tendonitis and tendon rupture, particularly in older adults and those taking corticosteroids.

Choice E rationale

Limiting exposure to sunlight and avoiding tanning beds is important. Ciprofloxacin can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should wear protective clothing and use sunscreen when outdoors.

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Correct Answer is C

Explanation

Choice A rationale

The best time to take ferrous sulfate is not necessarily at bedtime. It’s more important that the medication is taken on an empty stomach.

Choice B rationale

Crushing the tablets is not recommended. Enteric-coated tablets should be swallowed whole.

Choice C rationale

Ferrous sulfate is best absorbed on an empty stomach. The patient should wait for 2 hours after meals before taking the tablet to promote the best absorption of the medication.

Choice D rationale

Taking the tablet with a daily multivitamin is not typically recommended. Some vitamins and minerals can interfere with the absorption of ferrous sulfate.

A. Decrease cigarette use to a pack per day. B. Notify the healthcare provider of lethargy. C. Take the medication an hour after antacids. D. Monitor for any signs of sexual dysfunction.

Correct Answer is C

Explanation

Choice A rationale

Decreasing cigarette use to a pack per day is not enough. Smoking can increase stomach acid and reduce the ability of the stomach lining to resist acid, thus aggravating peptic ulcer disease. Therefore, the patient should be advised to quit smoking entirely.

Choice B rationale

Lethargy could be a side effect of cimetidine. It’s important for the patient to notify the healthcare provider if they experience this, as it could indicate a need to adjust the medication.

Choice C rationale

Cimetidine should be taken with or immediately following meals for best absorption. If antacids are used, they should be taken at least one hour apart from cimetidine. Therefore, taking the medication an hour after antacids is incorrect and indicates the need for further instruction.

Choice D rationale

Sexual dysfunction is a rare but possible side effect of cimetidine. Patients should be advised to monitor for this and report any issues to their healthcare provider.

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The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure. What instructions should be included in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure.
What instructions should be included in the teaching plan?