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?
This medication can cause endometrial cancers.
This drug has a black box warning for causing tendon rupture.
This medication can cause thromboembolic events.
This medication can cause thrombocytopenia.
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 A
Explanation
A. Ferrous sulfate can stain the teeth; therefore, using a straw can help minimize this risk when taken in liquid form.
B. Iron absorption is actually reduced when taken with milk or dairy products due to calcium binding with iron, so this statement is incorrect.
C. Iron supplements are often associated with constipation, and taking them at night may not prevent this issue; in fact, taking them during the day with plenty of fluids and fiber is usually recommended.
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Correct Answer is A
Explanation
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B. Oxymetazoline typically does not cause drowsiness, so taking it at bedtime is not necessary.
C. Oxymetazoline has a rapid onset and should not take a week to show effects.
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