A female client who is starting a new prescription for doxycycline hydate tells the nurse that she takes birth control pills. Which action should the nurse take?

Instruct the client to take the two medications at least two hours apart.

Advise the client that the birth control pills will be less effective while taking doxycycline hydate.

Notify the healthcare provider of the contraindication to tetracyclines.

Encourage the client to stop taking birth control pills until she has finished taking all the doxycycline hydate.

Answer and Explanation

The Correct Answer is B

A. Taking doxycycline and birth control pills at different times is not necessary; the concern is about the interaction between the two medications rather than timing.
B. Doxycycline can reduce the effectiveness of birth control pills, so advising the client of this interaction is important for preventing unintended pregnancy.
C. There is no specific contraindication to tetracyclines with birth control; the primary concern is the interaction and its effect on efficacy.
D. There is no need for the client to stop taking birth control pills; rather, additional contraceptive methods should be considered.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. pH levels are not directly affected by calcium acetate and do not indicate the medication's effectiveness.
B. Calcium acetate is used to lower phosphate levels in patients with CKD, so a decrease in phosphate indicates that the medication is having the desired effect.
C. Potassium levels are not directly impacted by calcium acetate and do not reflect the medication’s effectiveness in managing phosphate levels.
D. Calcium levels are not the primary target of calcium acetate therapy; the focus is on reducing phosphate levels in CKD management.

A. Coronary artery disease. B. Irritable bowel syndrome. C. Seasonal allergic rhinitis. D. Type 2 diabetes mellitus.

Correct Answer is A

Explanation

A. Sumatriptan is a triptan used to treat migraines, but it can cause vasoconstriction, which may exacerbate coronary artery disease. Therefore, it is crucial to assess for a history of this condition before administration.
B. Irritable bowel syndrome does not significantly impact the use of sumatriptan.
C. Seasonal allergic rhinitis is not a contraindication for sumatriptan use.
D. Type 2 diabetes mellitus is not a contraindication for sumatriptan use, though blood glucose levels should be monitored as part of overall management.

View Question and Answer

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

A female client who is starting a new prescription for doxycycline hydate tells the nurse that she takes birth control pills. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Correct Answer is B

Explanation

Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem?

Correct Answer is A

Explanation

An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN), is receiving these daily prescriptions: atenolol, furosemide, and enalapril. Which assessments should the nurse include in evaluating the effectiveness of the medications? (Select all that apply.)

Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?

Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500 mg PO twice daily. Which action should the nurse take?

Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?

The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take?