A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Notify the healthcare provider of the contraindication to tetracyclines.
Advise the client that the oral birth control will be less effective while taking doxycycline hyclate.
Instruct the client to take the two medications at least two hours apart.
Encourage the client to stop taking oral birth control until she has finished taking all the doxycycline hyclate
The Correct Answer is B
A) Notify the healthcare provider of the contraindication to tetracyclines: Tetracyclines, including doxycycline hyclate, are not contraindicated in clients taking birth control pills. While there may be interactions between these medications, they are not absolute contraindications.
B) Advise the client that the oral birth control will be less effective while taking doxycycline hyclate: Doxycycline hyclate, like other antibiotics, may reduce the effectiveness of oral contraceptives by altering the gut flora and interfering with the enterohepatic circulation of estrogen. Clients should be informed of this potential interaction and advised to use an additional form of contraception (such as condoms) while taking the antibiotic and for a period afterward.
C) Instruct the client to take the two medications at least two hours apart: While separating the administration of doxycycline hyclate and oral contraceptives by two hours may reduce the potential for interaction, it is not the standard recommendation. It is generally advised to use additional contraceptive methods during antibiotic therapy and for a period afterward, rather than relying solely on timing of medication administration.
D) Encourage the client to stop taking oral birth control until she has finished taking all the doxycycline hyclate: Stopping oral contraceptives abruptly is not recommended and may lead to unintended pregnancy. Instead, clients should be advised to use additional contraceptive methods while taking doxycycline hyclate and for a period afterward to ensure continued protection against pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) While measuring the client’s vital signs is a routine nursing intervention, the reported symptoms of confusion and blurred vision after receiving glipizide suggest the possibility of hypoglycemia. Vital signs may not provide immediate information about the client’s glucose levels or help confirm hypoglycemia. However, if the client’s symptoms persist or worsen, assessing vital signs becomes important to monitor for signs of shock or other complications.
B) Obtaining a fingerstick blood glucose is the priority action in this situation. Glipizide is an oral antidiabetic medication that stimulates insulin release from the pancreas, leading to lower blood glucose levels. Symptoms such as confusion and blurred vision are indicative of hypoglycemia, a potential adverse effect of glipizide. Checking the client’s blood glucose level will confirm hypoglycemia and guide further interventions.
C) While performing a neurological exam may be warranted if the client’s symptoms persist or if there are concerns about other neurological issues, confirming hypoglycemia with a fingerstick blood glucose test should be the immediate priority.
D) Administering glucagon intramuscularly (IM) is indicated for severe hypoglycemia when the client is unconscious or unable to swallow. However, in this scenario, the client is conscious and able to report symptoms. Before administering glucagon, it is essential to confirm hypoglycemia with a blood glucose measurement to avoid unnecessary interventions.
Therefore, the nurse should promptly obtain a fingerstick blood glucose to confirm hypoglycemia and initiate appropriate treatment for the client’s symptoms.
Correct Answer is ["0.8"]
Explanation
The nurse should administer 0.8 mL of the enoxaparin sodium injection.
Here's th’ breakdown of the calculation:
Prescribed dose: 80 mg
Available medication: 60 mg/0.6 mL
The nurse needs to determine the volume of the available medication that delivers the prescribed dose of 80 mg. We can set up a proportion to find the desired volume (x):
Prescribed dose (mg) : Desired volume (mL) = Concentration (mg/mL) : Available volume (mL)
Plugging in the values:
80 mg : x mL = 60 mg/0.6 mL : 0.6 mL
To isolate x (desired volume), we can cross-multiply:
x mL x (60 mg/0.6 mL) = 80 mg x 0.6 mL
Simplifying the equation
0.6x mL = 48 mg
To find x (desired volume), we can divide both sides by 0.6 mL:
x mL = (48 mg) / (0.6 mL/mL) // Cancel out units (mg/mL)
x = 80 mL
However, the answer needs to be rounded to the nearest tenth since medication dosages are measured precisely.
Therefore, the nurse should administer 0.8 mL of the enoxaparin sodium injection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.