A patient is receiving tetracycline for Chlamydia urethritis. What instruction should the practical nurse (PN) emphasize?
Protect skin from sun exposure.
Do not take with grapefruit juice.
Wear tampons during menses.
Take with meals or milk products.
The Correct Answer is A
The correct answer is A. Protect skin from sun exposure.
Choice A rationale
Tetracycline is a type of antibiotic that can make your skin more sensitive to the sun. Sun protection is important to prevent sunburn and other skin damage.
Choice B rationale
There is no specific interaction between tetracycline and grapefruit juice. However, it’s always a good idea to check with a healthcare provider about potential food-drug interactions.
Choice C rationale
The use of tampons during menses is not directly related to the use of tetracycline. It’s a personal choice based on comfort and convenience.
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Related Questions
Correct Answer is B
Explanation
Misoprostol is a medication used to prevent stomach ulcers in patients who take nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen over a long period. NSAIDs can cause stomach ulcers, and misoprostol works by reducing the amount of acid in the stomach and replacing the protective substances in the stomach that are reduced by NSAIDs. Therefore, relief of epigastric pain (pain in the upper middle part of the abdomen) would indicate that the medication is effective.
Correct Answer is A
Explanation
Choice A rationale
Sildenafil, commonly known as Viagra, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. One of the side effects of sildenafil is visual changes. These changes can be temporary or long-lasting, and can potentially be a sign of a serious condition known as non-arteritic anterior ischemic optic neuropathy (NAION), which can lead to permanent vision loss. Therefore, it is crucial for the client to report these symptoms to the healthcare provider immediately for further evaluation and management.
Choice B rationale
While eye drops can be used to treat various eye conditions, they are not typically used to address visual changes caused by sildenafil. Therefore, instilling prescribed eye drops would not be the appropriate response in this situation.
Choice C rationale
Wearing dark glasses when outside can help protect the eyes from sun damage, but it would not address the underlying issue of visual changes caused by sildenafil. Therefore, this would not be the appropriate instruction for the practical nurse to give to the client.
Choice D rationale
The Amsler grid tool is used to detect vision problems resulting from damage to the macula (the central part of the retina) or the optic nerve. However, this tool would not be useful in this context as the visual changes are a side effect of sildenafil. Therefore, monitoring for visual changes each morning using an Amsler grid tool would not be the appropriate instruction for the practical nurse to give to the client.
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