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 B
Explanation
A. Medications will need to be taken until the Mantoux test is negative: The Mantoux test (PPD) is used for diagnosis, not for monitoring treatment efficacy.
B. A typical course of treatment usually involves 6 months of consistent medication use. TB treatment typically requires at least 6 months of consistent medication adherence to fully eradicate the bacteria and prevent resistance.
C. Medications will need to be taken for the rest of the client's life, even if the client feels better: This is inaccurate. TB treatment is time-limited, though the full course must be completed.
D. The client's family will also need to take medications to prevent infection: Prophylactic treatment is not usually required for all family members, though they may need screening.
Correct Answer is A
Explanation
A. Lactic acidosis: Zidovudine has a black box warning for lactic acidosis, a rare but serious complication that can be life-threatening. The nurse should educate the client about symptoms of lactic acidosis, such as muscle pain and weakness.
B. Uterine Cancer: Zidovudine is not associated with uterine cancer.
C. Oral Candidiasis: This is not a black box warning for zidovudine, though oral candidiasis can occur in immunocompromised clients.
D. Thromboembolic Events: This is not a known black box warning for zidovudine.