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: Taking tetracycline with orange juice is incorrect; it can interfere with absorption.
Choice B reason: Tetracycline can increase sensitivity to sunlight, so clients should protect their skin from exposure.
Choice C reason: Weekly serum drug levels are not typically required for tetracycline.
Choice D reason: Taking tetracycline with milk or antacids can reduce its absorption.
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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