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.

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Correct Answer is C

Explanation

A. Administering the medication with milk will not address the critical issue of the severely low calcium level.
B. Tapering the medication dose is not immediately relevant to the calcium level issue and should be based on the overall treatment plan and the healthcare provider’s guidance.
C. A serum calcium level of 5.5 mg/dL is significantly below the normal range and requires prompt medical evaluation. Notifying the healthcare provider is crucial for addressing the potential causes and necessary interventions.
D. Teaching about calcium-rich foods is important for long-term management but does not address the immediate concern of the critically low calcium level that needs urgent attention.

A. Hard candy can be used for a dry mouth. B. Insomnia may occur while taking the medication. C. Another form of contraception is not needed. D. Sensitivity to the sun can develop.

Correct Answer is C

Explanation

A. Hard candy is a recommended way to manage dry mouth, a common side effect of many medications, including herbal supplements like St. John's wort.
B. Insomnia is a potential side effect of St. John's wort, so this information is correct.
C. St. John's wort can interact with oral contraceptives, reducing their effectiveness. Therefore, it is essential to use an additional form of contraception.
D. St. John's wort can increase sensitivity to sunlight, making sun protection important for clients.

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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?

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Naxlex Comprehensive Predictor Exams

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