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. Measles: The measles vaccine is a live-attenuated vaccine, which contains a weakened form of the virus and should be avoided in immunocompromised clients due to the risk of infection.
B. Inactivated Polio: The inactivated polio vaccine (IPV) is not a live vaccine, as it uses killed virus, making it safe for immunocompromised clients.
C. Mumps: The mumps vaccine is a live-attenuated vaccine and is part of the MMR (measles, mumps, rubella) vaccine. It should be avoided in clients with weakened immune systems.
D. Varicella: The varicella (chickenpox) vaccine is a live-attenuated vaccine. It should not be given to immunocompromised clients due to the potential risk of severe infection.
E. Rubella: The rubella vaccine is also a live-attenuated vaccine, included in the MMR vaccine, and is contraindicated in immunocompromised individuals.
Correct Answer is A
Explanation
A. This medication should be taken with a straw to avoid discoloration of the teeth: Liquid forms of iron supplements can stain teeth, so using a straw helps prevent this discoloration.
B. This medication is to be taken at night to prevent constipation from occurring: Iron supplements are better absorbed on an empty stomach or with vitamin C (during the day), not specifically at night. Constipation can still occur regardless of timing.
C. This medication should be taken with antacids to prevent gastrointestinal distress: Antacids interfere with iron absorption and should be avoided.
D. This medication is to be taken with milk to enhance absorption: Milk contains calcium, which can reduce iron absorption. Iron supplements should not be taken with dairy products.