Question

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates the prescription of ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?

a) "I am currently taking oral contraceptives."
b) "I have a history of allergic reactions to penicillin."
c) "I frequently consume grapefruit juice."
d) "I take over-the-counter antacids regularly

Answer 1

The statement indicating a contraindication for administering ciprofloxacin is the regular use of over-the-counter antacids, as they can interfere with the antibiotic's absorption. The other options mentioned do not have direct contraindications, but may still require consideration by the healthcare provider.

Step-by-step explanation:

The client statement that indicates a contraindication for administering ciprofloxacin is "I take over-the-counter antacids regularly." Ciprofloxacin is a fluoroquinolone antibiotic used to treat a variety of bacterial infections including urinary tract infections (UTIs). Antacids containing magnesium, aluminum, or calcium can interfere with the absorption of ciprofloxacin, making it less effective. It is recommended that ciprofloxacin be taken at least 2 hours before or 6 hours after taking antacids.

Clients taking oral contraceptives, those with a history of allergic reactions to penicillin, and those who consume grapefruit juice do not have direct contraindications for taking ciprofloxacin, although these factors may require individual consideration by the healthcare provider.