Author Question: A client receiving levofloxacin comes to the clinic for a follow-up visit. The client tells the ... (Read 37 times)

gonzo233 · **on:** Jul 23, 2018

A client receiving levofloxacin comes to the clinic for a follow-up visit. The client tells the nurse, I used sunscreen but it didn't help. Which response by the nurse would be most helpful?

A) Be sure to wear long sleeves and a wide-brimmed hat in addition to using sunscreen.
B) I guess you didn't apply enough sunscreen to be effective.
C) Maybe we need to change your medication because this is unusual.
D) The sunscreen should have worked. Are you sure you actually did use it?

Question 2

A client is receiving a fluoroquinolone as an extended-release formulation. Which of the following would be most important to include in the client's teaching plan?

A) To chew, crush, or break the medication
B) To swallow the medication whole
C) To limit the daily fluid intake
D) To take the drug with an antacid

ky860224 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Feedback:
The fluoroquinolone drugs cause severe photosensitivity reactions. Clients may experience sunburn reactions even when they use sunscreen or sunblock products. Caution clients to wear cover-up clothing with long sleeves and wide-brimmed hats when outside in addition to sunblock preparations. Remind them that sunscreen needs to be applied repeatedly throughout the day or when going into water. Clients should be aware that glare during hazy or cloudy days can cause skin reactions as readily as direct sunlight on a clear day. Telling the client that he didn't apply enough or questioning the client's actual use of sunscreen is inappropriate. There is no need to change the medication because the client's report is not unusual.

Answer to Question 2

Ans: B
Feedback:
When an extended-release formulation is prescribed, the client needs instructions to swallow the medication whole and not to chew, crush, or break the medication. Otherwise, the amount of drug released would be too great for the body all at once. Clients should be encouraged to increase their fluid intake and to separate administration by 1 to 2 hours.