A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make?

Take the medication with calcium-fortified orange juice.

Take the medication with an antacid,

Take the medication with crackers.

Take the medication and then lay down for 30 min.

Answer and Explanation

The Correct Answer is C

Nausea and vomiting are common side effects of doxycycline, an antibiotic commonly used to treat chlamydial infections. Taking the medication with food or a snack can help alleviate these side effects. The recommendation to take the medication with crackers provides a light source of carbohydrates that can help settle the stomach and reduce nausea.

It is generally not recommended to take doxycycline with calcium-rich foods or beverages, as they can interfere with the absorption of the medication. Calcium can form complexes with doxycycline, reducing its effectiveness. Therefore, it is best to avoid calcium-rich foods and beverages, including calcium-fortified orange juice, when taking doxycycline.

Similar to calcium-rich foods, antacids can also interfere with the absorption of doxycycline. Antacids contain aluminum, magnesium, or calcium, which can bind to doxycycline and reduce its effectiveness. Therefore, it is generally recommended to avoid taking doxycycline with antacids.

While it is important to remain upright for a short period after taking some medications to prevent reflux or aspiration, this recommendation may not specifically address the client's nausea and vomiting. Taking the medication with food, such as crackers, may be more effective in alleviating the symptoms.

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Correct Answer is B

Explanation

Explanation B.Triiodothyronine

Levothyroxine is a synthetic form of the thyroid hormone thyroxine (T4). It is converted to triiodothyronine (T3), the active form of the thyroid hormone, in the body. Monitoring the levels of triiodothyronine (T3) can help assess the effectiveness of levothyroxine therapy and ensure that the client's thyroid hormone levels are within the desired therapeutic range.

Serum potassium levels in (option A) should not be monitored because they are not directly affected by levothyroxine. However, imbalances in electrolytes can occur in some individuals with thyroid disorders. Electrolyte levels may be monitored, but it is not the primary focus of monitoring for levothyroxine therapy.

Blood urea nitrogen (BUN) in (option C) should not be monitored because it is a test used to assess kidney function and is not directly related to monitoring levothyroxine therapy.

Prothrombin time (PT) in (option D) should not be monitored because it is a test used to evaluate the clotting function of the blood and is not specifically related to monitoring levothyroxine therapy.

A. Provide the client with a glass of orange juice. B. Instruct the client to take a brisk walk. C. Position the client on their left side. D. Check the client's temperature.

Correct Answer is C

Explanation

Explanation

C. Position the client on their left side

The symptoms of feeling dizzy, racing heart, and becoming pale while lying on their back are consistent with supine hypotensive syndrome or vena cava syndrome. This condition occurs when the pregnant uterus compresses the vena cava, reducing blood flow back to the heart and causing a drop-in blood pressure.

Positioning the client on their left side helps alleviate the pressure on the vena cava, allowing for improved blood flow and preventing further symptoms. This position optimizes blood circulation and reduces the risk of complications. The nurse should assist the client in turning onto their left side and ensure they are comfortable.

Providing the client with a glass of orange juice (option A) is not recommended as it may be helpful in cases of low blood sugar or hypoglycemia, but it is not the most appropriate action in this scenario.

Instructing the client to take a brisk walk (option B) is not recommended since physical exertion can further worsen the symptoms and increase the risk of complications.

Checking the client's temperature (option D) is not necessary as the reported symptoms are not indicative of a fever or infection.

Therefore, the most appropriate action for the nurse to take in this situation is to position the client on their left side (option C).

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A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make?

Nursing Test Bank

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A nurse is caring for a client who has a prescription for levothyroxine. Which of the following laboratory tests should the nurse monitor?

Correct Answer is B

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