Author Question: Which statement by a client who has received a prescription for ciprofloxacin (Cipro) indicates that ... (Read 69 times)

RYAN BANYAN · **on:** Jul 23, 2018

Which statement by a client who has received a prescription for ciprofloxacin (Cipro) indicates that further instruction by the nurse is needed?

1. I will drink more coffee to make sure I get more fluids.
2. I will make sure and wear sunscreen when I go outside to do my gardening.
3. If my knees start hurting, I will call the doctor immediately.
4. I won't take any antacids until I have finished this medication.

Question 2

The health care provider has prescribed ciprofloxacin (Cipro) for four clients. For which client should the nurse contact the health care provider for further clarification?

1. A 67-year-old male who has just completed taking another antibacterial for chronic sinusitis
2. A 21-year-old female who gave birth 8 weeks ago and is still breast-feeding
3. A 49-year-old female who is experiencing hot flashes related to the onset of menopause
4. A 19-year-old male who plays soccer for his college team

234sdffa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Clients are advised to limit caffeine intake, not increase it, to decrease the chance of insomnia, nervousness, and anxiety.
Rationale 2: Clients are instructed to wear sunscreen while taking this drug because of the possibility of photosensitivity.
Rationale 3: Clients are instructed to report sudden, unexplained joint pain.
Rationale 4: Clients are told to avoid products containing aluminum or calcium (commonly found in antacids) while taking this drug.
Global Rationale: Clients are advised to limit caffeine intake, not increase it, to decrease the chance of insomnia, nervousness, and anxiety. Clients are instructed to wear sunscreen while taking this drug because of the possibility of photosensitivity. Clients are instructed to report sudden, unexplained joint pain. Clients are told to avoid products containing aluminum or calcium (commonly found in antacids) while taking this drug.

Answer to Question 2

Correct Answer: 2
Rationale 1: The use of ciprofloxacin after the use of another antibacterial is not contraindicated. Also, the client's age is not a contraindication unless the client also had liver or renal impairment.
Rationale 2: Ciprofloxacin is contraindicated in clients who are pregnant or breast-feeding because the drug is secreted in breast milk, and crosses the placenta.
Rationale 3: Symptoms of menopause are not contraindications for the use of ciprofloxacin.
Rationale 4: Fluoroquinolones are not administered to clients under age 18 unless the benefits outweigh the risks. This client is 19; therefore, the medication is not contraindicated due to age.
Global Rationale: Ciprofloxacin is contraindicated in clients who are pregnant or breast-feeding because the drug is secreted in breast milk, and crosses the placenta. The use of ciprofloxacin after the use of another antibacterial is not contraindicated. Also, the client's age is not a contraindication unless the client also had liver or renal impairment. Symptoms of menopause are not contraindications for the use of ciprofloxacin. Fluoroquinolones are not administered to clients under age 18 unless the benefits outweigh the risks. This client is 19; therefore, the medication is not contraindicated due to age.