What caution should the nurse advise a client prescribed levofloxacin for a urinary tract infection?

When advising a client prescribed levofloxacin for a urinary tract infection, it is important to mention potential side effects, particularly those that may affect the musculoskeletal system, such as tendon pain or rupture. Levofloxacin is in the fluoroquinolone class of antibiotics, which can increase the risk of tendonitis and tendon rupture, especially in individuals over 60 years of age, those taking corticosteroids, and those with certain pre-existing conditions.

Encouraging the client to report any leg pain immediately is critical because early detection of tendon-related side effects can prevent serious injuries. This caution reflects the need for vigilant monitoring when patients are on this medication. Prompt reporting and intervention can mitigate the risk of severe complications associated with tendon damage, which is particularly concerning for patients engaging in physical activity or those with a history of musculoskeletal issues.

Limiting fluid intake during treatment is not advisable and counteracts the goals in treating urinary tract infections, which often necessitate increased hydration. Avoiding dairy products is generally not required, although spacing them apart from administration of the medication helps enhance absorption due to potential interactions with calcium. Lastly, not discontinuing the medication even if symptoms improve could lead to incomplete treatment and promote the development of antibiotic resistance, but advising a