Final answer:
The nurse should immediately intervene if there are indications of allergies to ciprofloxacin, symptoms suggesting an adverse reaction, or evidence of antibiotic resistance. Patient history, including recent hospitalizations, is crucial to identify risks of resistant infections.
Step-by-step explanation:
Immediate Nursing Intervention for IV Ciprofloxacin Administration
When preparing to administer an IV dose of ciprofloxacin to a client with a urinary tract infection (UTI), the nurse should prioritize client data that indicates potential adverse reactions or contraindications to therapy. Critical data requiring the most immediate intervention includes allergies to ciprofloxacin or other fluoroquinolones, current symptoms of tendinopathy or tendon rupture, history of QT interval prolongation, and signs of severe renal impairment, as these can significantly impact the safety and effectiveness of ciprofloxacin treatment.
Instances of previous anaphylaxis, antibiotic resistance, or severe side effects need to be evaluated with urgency. If a client shows symptoms such as rash, difficulty breathing, or severe diarrhea, this could indicate an allergic reaction or a secondary infection, and the nurse must halt the medication administration and contact the prescribing healthcare provider immediately.
Antimicrobial resistance is another critical piece of data -- if the current infection is caused by bacteria resistant to ciprofloxacin, as indicated in Marisa's case where she had an infection with a strain of Klebsiella pneumoniae resistant to multiple drugs, using this medication would be ineffective and potentially hazardous. Patient information on recent hospitalizations or procedures can be essential, as it may suggest a risk of a hospital-acquired infection with a resistant strain of bacteria.