Exam 63: Fluoroquinolones

A patient has been taking ciprofloxacin for 3 days and calls the primary care nurse practitioner (NP)to report having headaches and dizziness.The NP should:

A primary care NP sees a patient who has fever,flank pain,and dysuria.The patient has a history of recurrent urinary tract infections (UTIs)and completed a course of trimethoprim-sulfamethoxazole (TMP/SMX)the week before.A urine test is positive for leukocyte esterase.The NP sends the urine for culture and should treat this patient empirically with:

A patient is taking levofloxacin to treat sinusitis.The patient calls the primary care NP to report pain just above the heel of the right foot.The NP should:

A primary care NP is preparing to prescribe a fluoroquinolone for a patient who has a history of alcohol abuse that has caused liver damage.The NP should choose:

A primary care NP provides teaching for a patient who is about to begin taking levofloxacin tablets to treat an infection.Which statement by the patient indicates a need for further teaching?

A patient who has been taking ciprofloxacin for 14 days for treatment of a UTI is seen in the clinic for a follow-up urinalysis.The urinalysis reveals crystalluria.The primary care NP should:

A patient who is taking a fluoroquinolone antibiotic for pyelonephritis develops Clostridium difficile-associated disease (CDAD).The primary care NP should treat for C.difficile and _____ fluoroquinolone.