A 75-year-old patient taking levofloxacin (Levaquin) reports all of the following new problems. For which problem does the nurse advise the patient to stop taking the drug immediately and no-tify the prescriber?
a. Having to get up at night to urinate
b. Swelling and pain in the right wrist
c. Feeling the heart pound after drinking coffee
d. Feeling light-headed when changing positions rapidly
B
A rare adverse effect of fluoroquinolones is the rupture of a tendon, most often in the shoulder, hand, wrist, or heel (Achilles tendon). This complication is most likely to happen in an older pa-tient and in those who also take corticosteroids.
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Which points should the nurse include when teaching safety precautions to a mother of a toddler? Select all that apply
a. Make sure the child sleeps on his back at night. b. Keep the telephone number of the poison control center accessible. c. Use a front-facing car seat placed in the back seat of the car. d. Keep syrup of ipecac on hand in case of accidental poisoning.
When caring for a client experiencing thrombocytopenia secondary to chemotherapy, the nurse should:
a. use aseptic technique when changing IV lines. b. eliminate offensive odors in the environment. c. apply pressure for three to five minutes following injections. d. administer pegfilgrastim as prescribed.
A visitor from Japan comes to the United States for a two-week vacation. This person is known as a:
a. Non-immigrant b. Refugee c. Legal immigrant d. Lawful permanent resident
A pregnant woman has a lesion on her leg and will need surgery. She expresses concern about anesthesia. What is the best response by the nurse?
1. "You will most likely have local anesthesia; this will not affect the baby." 2. "You may choose to have an epidural or a spinal block, which will not affect your baby." 3. "There are newer general anesthetics that do not pose a risk to your baby." 4. "Inhalation anesthetics will be used, as they are safest for your baby."