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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?

A.

This medication can cause thromboembolic events

B.

This drug has a black box warning for causing tendon rupture

C.

This medication can cause endometrial cancers

D.

This medication can cause breast cancer

Answer and Explanation

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. Staining of teeth: Rifampin is not known to stain teeth.

B. Orange colored secretions: Rifampin commonly causes orange discoloration of body fluids, including urine, tears, and sweat. This is harmless but can be alarming if the client is not forewarned.

C. Constipation: Constipation is not a typical side effect of rifampin.

D. White-colored stools: Rifampin does not cause white-colored stools, but bile duct obstruction could.

Correct Answer is A

Explanation

A. Retinal toxicity: Chloroquine is associated with retinal toxicity, which can lead to vision changes or damage. Regular eye exams are necessary to monitor for early signs of toxicity.

B. Tumors: Chloroquine is not associated with the development of tumors.

C. Pancytopenia: This refers to a reduction in all blood cells and is not a known adverse effect of chloroquine.

D. Cancer: Chloroquine is not linked to an increased risk of cancer.

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