An adolescent was recently diagnosed with acne vulgaris and was prescribed tetracycline. Which of the following statements indicates that the client requires further education?
"I'll take this medication at least an hour before I eat a meal".
"I'll take this medication with a full glass of milk".
"I'll take this medication with a full glass of water on an empty stomach".
"I'll stay out of direct sunlight while taking this medication"
The Correct Answer is B
Answer: B. "I'll take this medication with a full glass of milk."
A. "I'll take this medication at least an hour before I eat a meal."
This statement indicates correct understanding. Tetracycline should ideally be taken on an empty stomach, which means taking it at least one hour before or two hours after meals to maximize absorption and effectiveness.
B. "I'll take this medication with a full glass of milk."
This statement indicates a need for further education. Tetracycline should not be taken with dairy products, including milk, because calcium in dairy can bind to the antibiotic and significantly reduce its absorption, making the medication less effective.
C. "I'll take this medication with a full glass of water on an empty stomach."
This statement demonstrates proper understanding. Tetracycline should be taken with a full glass of water and on an empty stomach to ensure optimal absorption and reduce the risk of gastrointestinal irritation.
D. "I'll stay out of direct sunlight while taking this medication."
This statement reflects correct knowledge about the medication. Tetracycline can increase sensitivity to sunlight (photosensitivity), so it is advisable for the client to avoid prolonged exposure to direct sunlight and use sunscreen to protect their skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "He takes his medication between meals with water." Taking carbamazepine with food helps reduce gastrointestinal upset, but taking it between meals is not critical unless there are specific issues. This is not a priority unless the patient is experiencing significant GI discomfort.
B. "He only sleeps about 5 hours each night." Insufficient sleep can exacerbate seizure disorders, but it is not directly life-threatening. Improving sleep hygiene is important but not the most immediate concern compared to other symptoms.
C. "He seems to be getting a lot more bumps and bruises lately." Increased bruising can indicate thrombocytopenia, a potential side effect of carbamazepine, which can lead to serious bleeding issues. This is the priority as it may indicate a severe adverse effect requiring immediate medical attention and possible adjustment of medication.
D. "He has not been eating as much lately." Decreased appetite can be a side effect of many medications, including carbamazepine, but it is generally not immediately dangerous unless it leads to significant weight loss or nutritional deficiencies. It’s important but not the most urgent concern.
Correct Answer is B
Explanation
A. Perform range-of-motion (ROM) exercises to the infant's hips. ROM exercises are not the priority for an infant with spina bifida and could potentially cause harm if not done properly, particularly if the lesion is in a sensitive area.
B. Place the infant in a prone position. This is the correct action as it helps prevent pressure on the spina bifida lesion and minimizes the risk of injury or infection to the exposed spinal cord or meninges.
C. Feed the infant through an NG tube. An NG tube is not typically necessary for feeding infants with spina bifida unless there are other complicating factors that affect feeding.
D. Cover the infant's lesion with a dry cloth. The lesion should be covered with a sterile, moist, and non-adhesive dressing to prevent infection and keep the area moist. A dry cloth could cause the lesion to dry out and increase the risk of infection or damage.
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