The nurse is caring for a client who is taking ciprofloxacin for the treatment of acute cystitis
The nurse knows ciprofloxacin interacts with several other classes of medication and that it is important to assess the client's medication administration record for which classifications of medications?
Standard Text: Select all that apply.
1. Anticoagulants
2. Antacids
3. Xanthines
4. Antibiotics
5. Antivirals
Correct Answer: 1,2,3
Rationale 1: Concurrent administration of ciprofloxacin with the anticoagulant warfarin may increase anticoagulant effects and result in bleeding due to the decreased metabolism of warfarin.
Rationale 2: Antacids may decrease the absorption of ciprofloxacin, thus causing decreased effectiveness of the antibiotic.
Rationale 3: Ciprofloxacin slows the hepatic metabolism of xanthines, including caffeine, theophylline, and theobromine. Theophylline levels may increase 15% to 30%.
Rationale 4: There is no known drug interaction between ciprofloxacin and other antibiotics.
Rationale 5: There is no known drug interaction between ciprofloxacin and antiviral medications.
Global Rationale: Concurrent administration of ciprofloxacin with the anticoagulant warfarin may increase anticoagulant effects and result in bleeding due to the decreased metabolism of warfarin. Antacids may decrease the absorption of ciprofloxacin, thus causing decreased effectiveness of the antibiotic. Ciprofloxacin slows the hepatic metabolism of xanthines, including caffeine, theophylline, and theobromine. Theophylline levels may increase 15% to 30%. There is no known drug interaction between ciprofloxacin and other antibiotics. There is no known drug interaction between ciprofloxacin and antiviral medications.
You might also like to view...
The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares. What is the nurse's most helpful response to explain nightmares?
a. They are a normal extension of the child's fear of mutilation. b. They are an abnormal response to repressed feelings. c. They are a common result of latent sexuality. d. They are a side effect of overactivity and stimulation.
To prevent sudden infant death syndrome (SIDS), the nurse encourages the parents of a term infant to place the infant in which position when the infant is sleeping?
1. On the parents' waterbed 2. Swaddled in the infant swing 3. On his back 4. On his stomach
Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa)
Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? A) Ranolazine confers protection from myocardial infarction but does not relieve symptoms of angina. B) Amlodipine will now be contraindicated in the treatment of Mr. Penny's angina. C) Mr. Penny will need to be taught to monitor his blood pressure and heart rate. D) Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker.
When placing a client on a bedpan, the nurse should instruct the client to move to a side-lying position and:
a. take several deep breaths before sitting on the bedpan b. raise the hips as far as possible c. pin the call light cord on the gown d. roll onto the back while the bedpan is held