A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the hospital for treatment of a urinary tract infection. The prescriber has ordered intravenous ciprofloxacin [Ci-pro]
Before administering the third dose of this drug, the nurse reviews the bacterial culture re-port and notes that the causative organism is Escherichia coli. The bacterial sensitivity report is pending. The patient complains of right ankle pain. What will the nurse do? a. Withhold the dose of ciprofloxacin and notify the provider of the patient's symp-toms.
b. Instruct the patient to exercise the right foot and ankle to minimize the pain.
c. Question the patient about the consump-tion of milk and any other dairy products.
d. Request an order to increase this patient's dose of glucocorticoids.
A
A rare but serious adverse effect associated with fluoroquinolones is tendon rupture, and those at highest risk are children, patients older than 60 years, transplant patients, and any patients taking glucocorticoids. Any pain in either heel should be reported and the drug should be discontinued. Patients should be instructed not to exercise until tendonitis has been ruled out. Dairy products can reduce the absorption of ciprofloxacin, so this is not a concern with this patient. Because the pain may be caused by tendonitis associated with ciprofloxacin, it is not correct to request an in-crease in the glucocorticoid dosing.
You might also like to view...
Which of the following actions represent proper body mechanics for nurses providing care as well as teaching patients about safe body movements? Select all that apply
a. Stand with the body in alignment and erect posture. b. Bend at the waist to lift heavy objects from the floor. c. Use a wide base of support with your feet at shoulder width. d. Keep objects close to your body when carrying them.
Which one of the two intrapersonal theorists developed a theory of personality development that emphasizes sexuality as the underlying motivation for behavior?
a. Freud c. Erikson b. Havighurst d. Sullivan
The nurse is caring for a client with pericardial tamponade. Which statements about the mechanism of this condition does the nurse know to be true? Select all that apply.
A) This condition involves increased cardiac pressure leading to increased cardiac expansion. B) This condition is due to blood accumulating in the pericardial sac. C) This condition causes cardiac output to be dramatically reduced. D) This condition can ultimately result in cardiac arrest. E) This condition can be caused by any type of trauma to the mediastinum.
A patient, recovering from coronary artery bypass graft (CABG) surgery, tells the nurse that it feels good to be cured of heart disease
Which are appropriate responses by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "The surgery only relieves the symptoms; it does not cure the disease.". 2. "You must continue to modify your cardiac risk factors.". 3. "You are correct; your heart is now normal.". 4. "You should avoid exercise for at least 6 months after this surgery.". 5. "There no need to monitor your fat intake any longer.".