Your 25-year-old female patient has been prescribed ciprofloxacin (Cipro) for a respiratory infection. Patient teaching includes which of the following?
Wear high-top shoes to avoid tendon rupture.
Use a barrier method of birth control (condoms) during antibiotic use.
Do not use any bronchodilator inhalers while taking the drug.
Stop the medication as soon as you feel better.
The Correct Answer is B
A. Wear high-top shoes to avoid tendon rupture:
This statement is incorrect. Tendon rupture is a known side effect of fluoroquinolone antibiotics like ciprofloxacin, especially in certain populations. However, wearing high-top shoes does not prevent this. Patients should be educated about the signs of tendon pain, swelling, or inflammation and should be advised to stop the medication and contact their healthcare provider if they experience such symptoms.
B. Use a barrier method of birth control (condoms) during antibiotic use:
This statement is partially correct. Antibiotics like ciprofloxacin do not interfere with the efficacy of hormonal birth control methods like pills, patches, or injections. However, it's advisable to use a barrier method like condoms as an additional form of contraception while taking antibiotics. This is to prevent potential interactions and ensure maximum contraceptive effectiveness.
C. Do not use any bronchodilator inhalers while taking the drug:
This statement is incorrect. Ciprofloxacin does not interact negatively with bronchodilator inhalers. Patients can continue using their prescribed inhalers as directed by their healthcare provider, especially if they are being used for conditions like asthma or chronic obstructive pulmonary disease (COPD).
D. Stop the medication as soon as you feel better:
This statement is incorrect. It's crucial for patients to complete the entire course of antibiotics as prescribed, even if they start feeling better before the course is finished. Stopping antibiotics prematurely can lead to incomplete eradication of the infection, potentially allowing the bacteria to develop resistance and cause a recurrence of the illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Type IV Hypersensitivity (Delayed Hypersensitivity Reaction): This type of reaction involves a delayed immune response, typically occurring 24 to 72 hours after exposure to an antigen. It's characterized by the activation of T cells and macrophages, leading to inflammation. This type of hypersensitivity is often associated with conditions like contact dermatitis and some autoimmune diseases.
B. Type III Hypersensitivity (Antibody-Mediated Reaction): Type III hypersensitivity reactions occur when immune complexes, which are composed of antigens and antibodies, deposit in various tissues. This leads to inflammation and tissue damage. Systemic lupus erythematosus (SLE) is an example of a disease associated with Type III hypersensitivity.
C. Type II Hypersensitivity: This type of reaction involves antibodies (IgG or IgM) targeting antigens on the surface of cells. This can lead to cell destruction through various mechanisms, such as complement activation or antibody-dependent cell-mediated cytotoxicity (ADCC). Examples include hemolytic transfusion reactions and autoimmune hemolytic anemia.
D. Type I Hypersensitivity (Immediate Hypersensitivity Reaction): Type I hypersensitivity is characterized by an immediate immune response, typically occurring within minutes of exposure to an allergen. It involves the release of histamines and other mediators from mast cells and basophils, leading to symptoms like hives, respiratory distress, and anaphylaxis. Allergies, like hay fever and food allergies, are examples of Type I hypersensitivity reactions.
Correct Answer is A
Explanation
A. "This drug has a longer duration of action than some of the other antibiotics."
Explanation: Azithromycin, a macrolide antibiotic, has a longer half-life in the body compared to some other antibiotics. Half-life refers to the time it takes for half of the drug to be eliminated from the body. A longer half-life means the drug remains effective for a longer duration, allowing for less frequent dosing.
B. "This is a much more effective drug than what you received previously."
Explanation: While azithromycin is effective against a wide range of bacterial infections, it's not accurate to say it's universally more effective than other antibiotics. The choice of antibiotic depends on the specific type of infection and the susceptibility of the bacteria causing it. Effectiveness varies based on the context of use.
C. "I'll call the pharmacy and ask about the chemical makeup of the drug."
Explanation: While understanding the chemical makeup of drugs is important for healthcare professionals, it might not directly answer the patient's question about the dosing frequency. Explaining the drug's pharmacological properties, such as its duration of action, would provide a more relevant and understandable response to the patient's query.
D. "You'll need to ask your healthcare provider questions like that."
Explanation: This response does not provide the patient with the information they seek. Nurses are valuable resources for medication-related questions and should strive to provide accurate and understandable explanations to patients.
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