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. Cheese, milk, and yogurt are high in calcium, which is not directly relevant to managing the effects of furosemide.
B. Liver, beef, and chicken are protein-rich foods but do not specifically address the potassium needs related to furosemide use.
C. Bananas, oranges, and peaches are rich in potassium, which is important to replenish as furosemide can cause potassium loss.
D. Pasta, cereal, and bread are carbohydrates and do not address the need for potassium in this context.

A. The dose of insulin drawn up in the syringe B. The site for the insulin administration C. The type of insulin to be administered D. The sliding scale insulin lispro prescription E. The insulin concentration F. The insulin vial for color and clarity G. The history and physical with the diabetes diagnosis listed H. The expiration date on the insulin vial

Correct Answer is ["A","C","D","E","F","H"]

Explanation

A. (The dose of insulin drawn up in the syringe): Ensures the correct dosage is being administered, which is critical to avoid under- or overdosing.
B. The site for the insulin administration is not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
C. (The type of insulin to be administered): Confirms that the correct insulin type (e.g., insulin lispro) is being given, as administering the wrong type could lead to improper glucose control.
D. (The sliding scale insulin lispro prescription): Verifies the correct sliding scale dosing, ensuring it matches the client's current blood glucose level.
E. (The insulin concentration): Ensures the insulin concentration is appropriate and aligns with the prescribed dose.
F. (The insulin vial for color and clarity): Confirms that the insulin is not compromised; any discoloration or cloudiness could indicate that the insulin is not safe to use.
H. (The expiration date on the insulin vial): Ensures the insulin is within its expiration date and effective.
G. The history and physical with the diabetes diagnosis listed are not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

Correct Answer is C

Explanation

Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.

Correct Answer is ["A","C","D","E","F","H"]

Explanation

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