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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason: A serum total calcium level of 5.5 mg/dL is significantly below the normal range and indicates hypocalcemia, which can lead to serious symptoms such as muscle spasms, tingling, and cardiac issues. The nurse should notify the healthcare provider immediately to address this critical electrolyte imbalance.

Choice B reason: Tapering the drug dose per protocol may be necessary for long-term corticosteroid use, but this action is not directly related to the immediate concern of hypocalcemia. The priority is to address the dangerously low calcium level.

Choice C reason: Teaching the client about foods high in calcium is important for managing long-term calcium levels, but it does not address the immediate risk posed by severe hypocalcemia. The nurse must first ensure that the healthcare provider is informed.

Choice D reason: Administering the medication with a glass of milk can help with calcium intake, but it is not a sufficient response to a critical calcium deficiency. Immediate medical intervention is required to correct the severe hypocalcemia.

A. Administer a PRN dose of an anti-anxiety drug. B. Notify the healthcare provider. C. Collect a capillary glucose level. D. Obtain orthostatic blood pressure readings.

Correct Answer is B

Explanation

Choice A reason: Administering a PRN dose of an anti-anxiety drug is not appropriate in this situation. Tremors could be a side effect of pregabalin or indicate a more serious issue that needs evaluation.

Choice B reason: Notifying the healthcare provider is the correct action. Tremors can be a side effect of pregabalin, and the healthcare provider should assess the client's condition and determine if adjustments to the medication or further evaluation are needed.

Choice C reason: Collecting a capillary glucose level is unnecessary unless there are specific concerns about hypoglycemia. Tremors in this context are more likely related to the medication.

Choice D reason: Obtaining orthostatic blood pressure readings is not directly related to the reported symptom of tremors. The primary focus should be on addressing the potential side effects of the medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take?Reference Range: Total Calcium (9 to 10.4 mg/dL (2.3 to 2.6 mmol/L))

Correct Answer is A

Explanation

A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?

Correct Answer is B

Explanation

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