A client enters the emergency department with suspected exposure to anthrax. The physician confirms this suspicion and orders the client an antibiotic. Which medication would the nurse expect the physician to order?

1. Penicillin
2. Ciprofloxacin (Cipro)
3. Oxytetracycline (Terramycin)
4. Doxycycline (Vibramycin)


2

Rationale 1: Penicillin is in the penicillin class. The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.
Rationale 2: The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.
Rationale 3: Oxytetracycline (Terramycin) is a tetracycline. The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.
Rationale 4: Doxycycline (Vibramycin) is a tetracycline. The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.

Global Rationale: The most widely used drug in the fluoroquinolone class, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.Penicillin, oxytetracycline, and doxycycline are all incorrect.

Nursing

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A client with cancer is taking an antimetabolite. The client complains of nausea. The nurse may suggest taking the drug with:

a. milk. b. crackers. c. yogurt. d. a full meal.

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