The nurse is caring for a patient who will begin receiving intravenous ciprofloxacin [Cipro] to treat pyelonephritis. The nurse learns that the patient has a history of myasthenia gravis. Which action by the nurse is correct?
a. Administer the ciprofloxacin and monitor the patient for signs of muscle weakness.
b. Ask the provider whether the ciproflox-acin can be given orally.
c. Request an order for concurrent adminis-tration of metronidazole [Flagyl].
d. Suggest that the provider order a different antibiotic for this patient.
D
Ciprofloxacin and other fluoroquinolones can exacerbate muscle weakness in patients with myasthenia gravis and should not be given to these patients. It is not correct to administer the drug and monitor for this effect. Giving the drug by a different route will not alter this effect. Metronidazole is given when C. difficile occurs.
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After fitting the sleeve of the sequential compression device onto the client's legs, which action should the nurse take next?
1. Documenting the procedure 2. Turning the machine on 3. Connecting the sleeve to the control unit 4. Adjusting the alarms
The nurse reviewing the physician's diagnosis for a patient who has sustained a basal skull fracture knows that the patient should be observed for:
A) An area of bruising over the mastoid bone B) Bleeding from the ears C) An increase in pulse D) Difficulty sleeping
Adequate intake of folic acid is especially important for
a. competitive athletes. b. infants and young children. c. women of childbearing age. d. pregnant and lactating women.
A 26-year-old client has a total cholesterol of 206 mg/dL and an LDL of 110. Which of the following conclusions can be drawn by the nurse?
a. The client has achieved the target levels for cholesterol in young adults. b. The client has a very low risk of developing heart disease. c. The client requires counseling about cardiac disease risk factors. d. The client has early-onset cardiac disease.