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 A
Explanation
A. "Tetracycline inhibits protein synthesis."
Explanation: Tetracycline antibiotics interfere with bacterial protein synthesis by binding to the bacterial ribosomes. This binding prevents the attachment of transfer RNA (tRNA) to the messenger RNA (mRNA) complex, effectively inhibiting the production of proteins that are crucial for bacterial growth and replication.
B. "Tetracycline blocks RNA synthesis."
Explanation: This statement is incorrect. Tetracycline primarily affects protein synthesis, not RNA synthesis. It doesn't block the creation of RNA molecules in bacteria.
C. "Tetracycline degrades the bacterial cell wall."
Explanation: This statement is incorrect. Tetracycline antibiotics do not target bacterial cell walls. Agents like penicillins and cephalosporins are examples of antibiotics that disrupt bacterial cell walls.
D. "Tetracycline binds to magnesium ions."
Explanation: This statement is incorrect. Tetracycline does bind to certain metal ions, but it's not primarily through magnesium ions. The binding to bacterial ribosomes is a key mechanism of action for tetracyclines.
Correct Answer is B
Explanation
A. IgD: Immunoglobulin D (IgD) is found on the surface of B cells and serves as a receptor for antigen recognition during the immune response. Its exact function is not fully understood, but it plays a role in the activation of B cells.
B. IgE: Immunoglobulin E (IgE) is primarily associated with allergic responses and defense against parasitic infections. When an allergen enters the body, IgE antibodies trigger the release of histamine and other chemicals, leading to allergy symptoms. IgE is also involved in protecting against certain parasites.
C. IgG: Immunoglobulin G (IgG) is the most abundant immunoglobulin in the bloodstream. It provides long-term immunity by recognizing and neutralizing pathogens such as bacteria and viruses. IgG antibodies are involved in secondary immune responses and are transferred from mother to fetus, providing passive immunity.
D. IgM: Immunoglobulin M (IgM) is the first antibody produced during an initial immune response to an antigen. It is effective at agglutination (clumping) of pathogens. IgM antibodies are generally found in blood and lymph fluid and are the first line of defense during infections.
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