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The nurse is caring for a client receiving ciprofloxacin (Cipro) for the treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?

A.

This medication can cause endometrial cancers.

B.

This drug has a black box warning for causing tendon rupture.

C.

This medication can cause thromboembolic events.

D.

This medication can cause thrombocytopenia.

Answer and Explanation

The Correct Answer is B

A. There is no established link between ciprofloxacin and endometrial cancers; this warning does not apply.  

 

B. Ciprofloxacin has a black box warning for the risk of tendon rupture and tendinopathy, particularly in older adults and those concurrently taking corticosteroids.  

 

C. Thromboembolic events are not specifically associated with ciprofloxacin; thus, this warning is not applicable.  

 

D. Thrombocytopenia is a potential side effect of various medications but is not the primary concern associated with ciprofloxacin use.


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Correct Answer is C

Explanation

A. A BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.

B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.

C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.

D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.

Correct Answer is A

Explanation

A. Oxytocin is primarily used to induce or augment labor in full-term clients, making this the correct statement regarding its expected outcome.

B. Oxytocin is not used to prevent contractions; it is used to stimulate them, especially during labor.

C. Oxytocin is not a contraceptive; it does not prevent pregnancy but is used in labor management.

D. Oxytocin does not influence egg production; it primarily affects uterine contractions and milk ejection in breastfeeding.

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