A patient who has been taking ciprofloxacin for 14 days for ...

[nevelica]

A patient who has been taking ciprofloxacin for 14 days for treatment of a UTI is seen in the clinic for a follow-up urinalysis. The urinalysis reveals crystalluria. The primary care NP should:
 
  a. discontinue the ciprofloxacin.
  b. decrease the dose of ciprofloxacin.
  c. change the antibiotic to norfloxacin.
  d. counsel the patient to increase fluid intake.

Question 2

A primary care NP provides teaching for a patient who is about to begin taking levofloxacin tablets to treat an infection. Which statement by the patient indicates a need for further teaching?
 
  a. I should use sunscreen while taking this medication.
  b. I should take this medication on an empty stomach.
  c. I should use caution while driving when taking this medication.
  d. I should take the tablet 2 hours before taking vitamins or an antacid.

[sierrahalpin]

Answer to Question 1

D
Fluoroquinolones can cause renal irritation and urine crystals. Patients should be advised to maintain proper hydration to avoid this. It is not necessary to discontinue the ciprofloxacin or to decrease the dose.

Answer to Question 2

B
Levofloxacin tablets may be taken without regard to food, although levofloxacin solution must be taken on an empty stomach. Patients should be cautioned to use sunscreen and to avoid situations where drowsiness may impair function. Levofloxacin should not be taken with antacids or vitamins.

[nevelica]

Excellent

[FergA]

TYSM