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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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View Related questions

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.

Correct Answer is D

Explanation

A. Regular sun exposure is needed to maximize drug efficacy: This is incorrect; in fact, doxycycline can cause photosensitivity, and sun exposure should be minimized.

B. Avoid water while taking this medication: Water should be taken with doxycycline to help prevent esophageal irritation.

C. Take this medication with antacids to relieve gastrointestinal symptoms: Antacids can also interfere with doxycycline absorption, so they should be avoided.

D. Avoid dairy products when taking this medication: Dairy products can bind to doxycycline and reduce its absorption in the gastrointestinal tract, which decreases its effectiveness. The client should avoid dairy when taking the medication.

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