The nurse is caring for a client receiving ciprofloxacin for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?
This medication can cause thromboembolic events
This drug has a black box warning for causing tendon rupture
This medication can cause endometrial cancers
This medication can cause breast cancer
The Correct Answer is B
A. Thromboembolic events: This is not a black box warning for ciprofloxacin.
B. This drug has a black box warning for causing tendon rupture: Ciprofloxacin, a fluoroquinolone, has a black box warning for the risk of tendonitis and tendon rupture, especially in older adults or those on corticosteroids.
C. Endometrial cancers: Ciprofloxacin is not associated with cancer.
D. Breast cancer: There is no link between ciprofloxacin and breast cancer.
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Correct Answer is ["A","C","D","E"]
Explanation
A. This medication should not be taken if you are lactating: Doxycycline is contraindicated in breastfeeding women as it can affect bone and teeth development in nursing infants.
B. This medication can cause hyperglycemia: Doxycycline is not known to cause hyperglycemia. This side effect is more common with certain steroids and antidiabetic drugs.
C. This medication may cause photosensitivity - Doxycycline can cause photosensitivity, making the skin more sensitive to sunlight and increasing the risk of sunburn.
D. This medication should not be taken with antacids: Doxycycline should not be taken with antacids or supplements containing calcium, magnesium, or aluminum as they can interfere with its absorption.
E. This medication may cause discoloration of the teeth: Doxycycline can cause permanent discoloration of the teeth if used during tooth development, which is why it is generally not recommended for children under 8 years or during pregnancy.
Correct Answer is B
Explanation
A. Clotting Factors: Epoetin alfa does not directly influence clotting factors.
B. Hemoglobin & hematocrit: Epoetin alfa is used to stimulate red blood cell production, which increases hemoglobin and hematocrit levels. Monitoring these values helps determine the drug’s therapeutic effectiveness in improving anemia associated with chronic renal disease.
C. Leukocyte Count: This medication primarily affects red blood cells, not white blood cells (leukocytes).
D. ALT & AST: These are liver function tests and are not related to the therapeutic effect of epoetin alfa.