A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?

Utilize an additional form of contraception.

Immediately discontinue the oral contraceptive.

Ensure a 12-hour gap between taking the medications.

Avoid prolonged exposure to direct sunlight.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Erythromycin is an antibiotic that can potentially reduce the effectiveness of oral contraceptives. Therefore, patients who are taking both erythromycin and an oral contraceptive should be advised to use an additional form of contraception to prevent unintended pregnancy.

Choice B rationale

Immediately discontinuing the oral contraceptive is not necessary when taking erythromycin. Instead, the patient should be advised to use an additional form of contraception.

Choice C rationale

Ensuring a 12-hour gap between taking the medications is not a recommended strategy for managing the potential interaction between erythromycin and oral contraceptives. The patient should be advised to use an additional form of contraception.

Choice D rationale

Avoiding prolonged exposure to direct sunlight is a general recommendation for sun protection, but it is not specifically related to the use of erythromycin or oral contraceptives.

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Correct Answer is A

Explanation

Choice A rationale

Tamsulosin is an alpha-blocker that relaxes the smooth muscles of the prostate and bladder neck, improving urine flow. However, it can also cause hypotension, dizziness, and fainting as adverse effects. Therefore, monitoring blood pressure is essential for clients taking tamsulosin.

Choice B rationale

While assessing the client’s urine output is an important part of monitoring a client with benign prostatic hyperplasia, it is not specifically related to monitoring for adverse reactions to tamsulosin.

Choice C rationale

Performing a bladder scan can be useful in assessing the client’s urinary retention, a common symptom of benign prostatic hyperplasia. However, it is not specifically related to monitoring for adverse reactions to tamsulosin.

Choice D rationale

Obtaining the client’s daily weights can be useful in monitoring fluid balance, but it is not specifically related to monitoring for adverse reactions to tamsulosin.

A. The best time to take the tablet is at bedtime. B. Crush the tablets and mix with pudding. C. Wait 2 hours after meals to take the tablet. D. Take the tablet with a daily multivitamin.

Correct Answer is C

Explanation

Choice A rationale

The best time to take ferrous sulfate is not necessarily at bedtime. It’s more important that the medication is taken on an empty stomach.

Choice B rationale

Crushing the tablets is not recommended. Enteric-coated tablets should be swallowed whole.

Choice C rationale

Ferrous sulfate is best absorbed on an empty stomach. The patient should wait for 2 hours after meals before taking the tablet to promote the best absorption of the medication.

Choice D rationale

Taking the tablet with a daily multivitamin is not typically recommended. Some vitamins and minerals can interfere with the absorption of ferrous sulfate.

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A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?

Correct Answer is A

Explanation

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets.To promote the best absorption of the medication, what information should the nurse include in the discharge instructions?

Correct Answer is C

Explanation

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