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

Answer and Explanation

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.

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Free Nursing Study Resources

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.

A. Collect a capillary glucose level. B. Notify the healthcare provider. C. Obtain orthostatic blood pressure readings. D. Administer a PRN dose of an antianxiety drug.

Correct Answer is B

Explanation

A) Collecting a capillary glucose level is not indicated in response to hand tremors reported by a client taking pregabalin for fibromyalgia. Hand tremors are not typically associated with hypoglycemia, which is what capillary glucose levels assess. Therefore, this action does not directly address the reported symptom.

B) Notifying the healthcare provider is the most appropriate action in response to the client’s report of experiencing tremors while taking pregabalin. Hand tremors can be a potential adverse effect of pregabalin, and the healthcare provider should be informed to assess the severity of the symptom, consider alternative medications or dosage adjustments, and determine the need for further evaluation or intervention.

C) Obtaining orthostatic blood pressure readings is not indicated in response to hand tremors reported by a client taking pregabalin for fibromyalgia. Orthostatic blood pressure readings assess for changes in blood pressure upon position changes (e.g., from lying down to standing up) and are not directly relevant to the reported symptom of tremors.

D) Administering a PRN dose of an antianxiety drug is not the first-line intervention for hand tremors reported by a client taking pregabalin. While antianxiety medications may help alleviate symptoms of anxiety, they do not address the underlying cause of the tremors. Additionally, the client’s tremors may not necessarily be related to anxiety. Therefore, the nurse should prioritize notifying the healthcare provider for further assessment and management of the reported symptom.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.8"]

Explanation

A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?

Correct Answer is B

Explanation

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