A patient recently was discharged from the hospital and ...

[dalyningkenk]

A patient recently was discharged from the hospital and prescribed ciprofloxacin (Cipro) phones the prescriber's office complaining of pain above the heel while walking or stretching. The nurse should instruct the patient to
 
  a. try isometric exercises prior to walking or stretching.
  b. avoid the treadmill and apply ice to area.
  c. continue the medication and watch for signs of redness or swelling.
  d. discontinue the medication and avoid weight bearing on the ankle.

Question 2

Metronidazole (Flagyl) is active against only which organisms? (Select all that apply.)
 
  a. Aerobic organisms
  b. Anaerobic organisms
  c. Protozoa
  d. Gram-positive organisms
  e. Gram-negative organisms

[sylvia]

Answer to Question 1

ANS: D
Ciprofloxacin is a fluoroquinolone, which puts this patient at risk for tendon rupture. It is essential that the nurse tell the patient to report any tendon tenderness, which may precipitate tendon rupture. The nurse also should instruct the patient to discontinue the medication and avoid weight bearing on the ankle.
The medication must be discontinued, which is not stipulated in these options.

Answer to Question 2

ANS: B, D
Metronidazole is active against anaerobic organisms and gram-positive organisms.
Metronidazole is not active against aerobic organisms, protozoa, or gram-negative organisms.

[dalyningkenk]

Excellent

[JaynaD87]

TYSM