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.

Nursing

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When placing a client on a bedpan, the nurse should instruct the client to move to a side-lying position and:

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