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Which of the following is a common side effect associated with quinolonest

A.

Nephrotoxicity

B.

Hypersensitivity reactions

C.

Tendon rupture

D.

Ototoxicity

Answer and Explanation

The Correct Answer is C

A. Nephrotoxicity: Nephrotoxicity is more commonly associated with aminoglycosides and certain chemotherapeutic drugs. While quinolones are excreted by the kidneys, they are not typically linked to significant kidney toxicity as a primary side effect.

B. Hypersensitivity reactions: Allergic reactions can occur with any antibiotic, including quinolones, but they are not the hallmark adverse effect. They are less frequent compared to the well-recognized musculoskeletal complications.

C. Tendon rupture: Quinolones, such as ciprofloxacin and levofloxacin, are well known for causing tendon inflammation and rupture, particularly the Achilles tendon. This risk is higher in older adults, clients on corticosteroids, and those with kidney disease.

D. Ototoxicity: Ototoxicity is associated with aminoglycosides like gentamicin, not quinolones. Hearing loss, tinnitus, or vestibular damage are not common complications of quinolone therapy.


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Related Questions

Correct Answer is B

Explanation

A. Medical malpractice prevention: Malpractice prevention relates to protecting healthcare providers from negligence claims but does not establish a patient’s right to refuse care. It is focused on provider accountability, not patient autonomy.

B. Informed consent: Informed consent ensures that patients receive adequate information about the benefits, risks, and alternatives of treatment before agreeing or refusing to proceed. This legal and ethical principle upholds the patient’s right to autonomy and self-determination.

C. Patient confidentiality: Confidentiality protects private health information but does not give the patient the legal right to refuse treatment. It governs how information is shared, not decision-making authority about care.

D. Advance directives: Advance directives are used to communicate treatment preferences when a patient is unable to speak for themselves. While important, they do not serve as the primary legal foundation for a competent patient’s immediate right to refuse treatment.

Correct Answer is C

Explanation

A. The Braden Scale: This tool is designed to assess a client’s risk for pressure injury by evaluating factors like sensory perception, activity, and moisture. While useful in skin care planning, it does not measure mobility in relation to fall risk.

B. The Mini-Mental State Examination: This screening tool evaluates cognitive status, including memory, orientation, and attention. Although cognition affects fall risk, the MMSE does not specifically measure mobility or gait performance.

C. The Timed Up and Go Test: This test directly evaluates mobility and balance by timing how long it takes a client to rise from a chair, walk a short distance, and return. It is one of the most appropriate and widely used assessments for predicting fall risk related to impaired mobility.

D. The Glasgow Coma Scale: This tool is used to assess a client’s level of consciousness and neurological function, particularly after head trauma. It does not evaluate mobility, balance, or gait, making it unsuitable for fall risk assessment.

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