A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Instruct the client to take the two medications at least two hours apart.
Advise the client that the birth control pills will be less effective while taking doxycycline hyclate.
Encourage the client to stop taking birth control pills until she has finished taking all the doxycycline hyclate.
Notify the healthcare provider of the contraindication to tetracyclines.
The Correct Answer is B
Choice A reason: Instructing the client to take the medications two hours apart does not prevent the interaction that reduces the effectiveness of birth control pills when taken with doxycycline.
Choice B reason: It is important to advise the client that doxycycline can reduce the effectiveness of birth control pills. The client should be encouraged to use additional forms of contraception to prevent unintended pregnancy.
Choice C reason: Stopping birth control pills is not necessary; instead, the client should be informed about the interaction and the need for additional contraception.
Choice D reason: While notifying the healthcare provider of potential contraindications is good practice, it does not provide immediate guidance to the client on how to manage the interaction between doxycycline and birth control pills.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Phenazopyridine does not eliminate urinary bacteria. It is an analgesic that relieves pain, burning, and discomfort caused by irritation of the urinary tract mucosa.
Choice B reason: Phenazopyridine provides an analgesic effect for irritated bladder mucosa, which helps alleviate symptoms like pain and burning during urination.
Choice C reason: Phenazopyridine does not have antispasmodic properties; it primarily works as a pain reliever for the urinary tract.
Choice D reason: Using the medication after voiding after sexual intercourse is not related to the therapeutic effect of phenazopyridine. The focus should be on its analgesic properties.
Correct Answer is B
Explanation
Choice A reason: Instructing the client to take the medications two hours apart does not prevent the interaction that reduces the effectiveness of birth control pills when taken with doxycycline.
Choice B reason: It is important to advise the client that doxycycline can reduce the effectiveness of birth control pills. The client should be encouraged to use additional forms of contraception to prevent unintended pregnancy.
Choice C reason: Stopping birth control pills is not necessary; instead, the client should be informed about the interaction and the need for additional contraception.
Choice D reason: While notifying the healthcare provider of potential contraindications is good practice, it does not provide immediate guidance to the client on how to manage the interaction between doxycycline and birth control pills.
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