A client who has been taking ciprofloxacin (Cipro) calls the ...

[cherise1989]

A client who has been taking ciprofloxacin (Cipro) calls the health care provider to report that he has begun having loose stools. What instructions would be most helpful to this client?
 
  1. Take a dose of antidiarrheal medication after every loose stool.
  2. Do nothing until you have 810 loose stools per day.
  3. Eat live-culture yogurt once or twice daily.
  4. Limit the amount of water you drink to three glasses a day.

Question 2

A client has been diagnosed with a skin infection. The infective organism has been identified as MRSA, and daptomycin (Cubicin) IV has been prescribed. If this client complains of muscle pain, what will be the priority
 
  1. Place the affected extremity in a resting position.
  2. Place a warm compress on the affected muscles.
  3. Encourage the client to exercise the client and work out the soreness.
  4. Obtain a blood specimen for a CPK.

[Loise Hard]

Answer to Question 1

Correct Answer: 3
Rationale 1: Antidiarrheal drugs should be used conservatively, which could cause retention of harmful bacteria.
Rationale 2: Clients should be given instructions to increase fluids, and should monitor for the presence of severe diarrhea.
Rationale 3: Clients are often advised to consume live-culture dairy products to help maintain and restore normal intestinal flora.
Rationale 4: Clients with loose stools should be advised to increase fluid intake, not limit it.
Global Rationale: Clients are often advised to consume live-culture dairy products to help maintain and restore normal intestinal flora. Antidiarrheal drugs should be used conservatively, which could cause retention of harmful bacteria. Clients should be given instructions to increase fluids, and should monitor for the presence of severe diarrhea.

Answer to Question 2

Correct Answer: 4
Rationale 1: Clients who are given daptomycin are at risk for myopathy. The client may be asked to rest, but this is not the priority nursing intervention.
Rationale 2: Placing a warm compress on the affected extremity does not address the possible development of myopathy.
Rationale 3: The client should not be encouraged to exercise, because this might increase the muscle damage that is occurring.
Rationale 4: Because myopathy is a possibly adverse effect of daptomycin, the nurse should immediately obtain a CPK for evidence of muscle damage.
Global Rationale: Because myopathy is a possibly adverse effect of daptomycin, the nurse should immediately obtain a CPK for evidence of muscle damage. Other actions such a rest or increased exercise or using a warm compress do not have priority in this patient's care.

[cherise1989]

Gracias!

[jackie]

Excellent