The nurse is providing instructions to a client being discharged ...

[j.rubin]

The nurse is providing instructions to a client being discharged on ciprofloxacin (Cipro). What should be included in the teaching?(Select all that apply.)
 
  1. Finish the full course of the prescription.
  2. Do not take with antacids.
  3. You might have some dizziness.
  4. Do not take with mineral supplements.
  5. Take the medication only with grapefruit juice.

Question 2

The nurse is caring for a client who is being discharged with a prescription for a tetracycline. Which statement, if made by the client, would demonstrate an understanding of the discharge instructions?
 
  1. It is fine for me to become pregnant while taking this medication.
  2. I am so glad to be leaving today because I have an appointment toget my hair cut.
  3. I will need to postpone my vacation at the beach until I finish this medication.
  4. I will stop taking this medication as soon as I feel better.

[Danny Ewald]

Answer to Question 1

1, 2, 3, 4

Rationale 1:Finish the full course of the prescription is correct. Prematurely stopping antibiotic therapy allows some pathogens to survive, thus promoting the development of resistant strains.
Rationale 2:Antacids should be avoided with ciprofloxacin (Cipro).
Rationale 3: Clients shouldreport dizziness and headache to the prescriber.
Rationale 4: Cipro should not be taken with antacids or mineral supplements, because drug absorption will be diminished.
Rationale 5:The medication can be taken with grapefruit juice. This medication does not have any juice restriction.

Global Rationale: Ciprofloxacin (Cipro) is in the fluoroquinolone class of drugs,most of which are absorbed well, with side effects of nausea, vomiting, and diarrhea. They should not be taken with antacids or mineral supplements because these interact to reduce the absorption of some fluoroquinolones by as much as 90. Some clients report dizziness and headaches. No dietary restrictions are associated with fluoroquinolones.

Answer to Question 2

3

Rationale 1:It is fine for me to become pregnant while taking this medication is incorrect because the client should not become pregnant while taking this medication. It is a pregnancy category D medication.
Rationale 2:I am so glad to be leaving today because I have an appointment to get my hair cut is incorrect. Clients should be advised to avoid direct exposure to sunlight because tetracyclines can cause photosensitivity during therapy.
Rationale 3: Clients should be advised to avoid direct exposure to sunlight because tetracyclines can cause photosensitivity during therapy.
Rationale 4:I will stop taking this medication as soon as I feel better is incorrect because the client should finish all antibiotics.

Global Rationale: Clients should be advised to avoid direct exposure to sunlight because tetracyclines can cause photosensitivity during therapy.

[j.rubin]

TYSM

Thanks for the timely response, appreciate it