The nurse is caring for a client who is being discharged with a prescription for tetracycline. Which of the following statements, if made by the client. demonstrates an understanding of the discharge instructions?

“It’s fine for me to become pregnant while taking this medication.”

“I will need to postpone my vacation at the beach until I finish this medication."

“I am so glad to be leaving today because I have an appointment at the tanning salon."

"I will stop taking this medication as soon as I feel better.”

Answer and Explanation

The Correct Answer is B

A. “It’s fine for me to become pregnant while taking this medication.”

This statement is incorrect. Tetracycline is known to have teratogenic effects, meaning it can harm the developing fetus if taken during pregnancy. Women of childbearing age should use effective contraception while taking tetracycline and avoid becoming pregnant during treatment.

B. “I will need to postpone my vacation at the beach until I finish this medication."

This statement demonstrates an understanding of the discharge instructions. Tetracycline can increase the risk of sunburn and photosensitivity reactions. Therefore, it's advisable for the client to avoid prolonged sun exposure, particularly during peak sunlight hours, and to use sun protection measures such as wearing protective clothing, using sunscreen, and avoiding tanning beds or sunlamps. Postponing a vacation at the beach until after finishing the medication is a prudent precaution to minimize the risk of sun-related side effects.

C. “I am so glad to be leaving today because I have an appointment at the tanning salon."

This statement is incorrect. Tetracycline can increase the risk of sunburn and photosensitivity reactions. Visiting a tanning salon while taking tetracycline can further increase the risk of skin damage and should be avoided.

D. "I will stop taking this medication as soon as I feel better.”

This statement is incorrect. It's important for the client to complete the full course of tetracycline as prescribed by their healthcare provider, even if they start to feel better before finishing the medication. Stopping the medication prematurely can lead to incomplete treatment and potential recurrence of the infection.

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Correct Answer is ["50"]

Explanation

To calculate the infusion rate in gtt/min, the nurse needs to use the formula:

Infusion rate (gtt/min) = Volume (mL) x Drop factor (gtt/mL) / Time (min)

Plugging in the given values, we get:

Infusion rate (gtt/min) = 400 mL x 60 gtt/mL / 480 min

Simplifying, we get:

Infusion rate (gtt/min) = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.

A. Sulfonamides B. Macrolides C. Yeast D. Penicillin

Correct Answer is D

Explanation

A. Sulfonamides:

Sulfonamides are a class of antibiotics that are structurally distinct from cephalosporins like cefazolin. Allergic reactions to sulfonamides do not necessarily indicate a risk of allergy to cefazolin. However, it's still important to assess for any previous allergic reactions to medications, including sulfonamides, as individuals can have multiple medication allergies.

B. Macrolides:

Macrolides are another class of antibiotics that are structurally different from cephalosporins. Allergic reactions to macrolides do not directly indicate an allergy to cefazolin. However, as with sulfonamides, it's crucial to assess for any history of allergic reactions to medications, including macrolides.

C. Yeast:

Yeast is not a class of antibiotics but rather a type of fungus. Allergic reactions to yeast are unrelated to cephalosporin antibiotics like cefazolin. Therefore, a history of allergic reactions to yeast does not suggest an allergy to cefazolin.

D. Penicillin:

This is the correct choice. Penicillins and cephalosporins share a similar beta-lactam ring structure. Individuals who have had allergic reactions to penicillin may have an increased risk of cross-reactivity with cephalosporins, including cefazolin. Therefore, it's crucial to assess for any previous allergic reactions to penicillin before administering cefazolin to avoid potential allergic reactions or adverse effects.

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The nurse is caring for a client who is being discharged with a prescription for tetracycline. Which of the following statements, if made by the client. demonstrates an understanding of the discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

Before administering cefazolin (Ancef), the nurse checks for a previous allergic reaction to:

Correct Answer is D

Explanation

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