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: Feverfew can interact with aspirin or NSAIDs, potentially increasing the risk of bleeding. This information is crucial for clients to avoid adverse interactions.

Choice B reason: While increased anxiety and nervousness have been reported, these side effects are less critical compared to the potential for harmful drug interactions.

Choice C reason: Those with allergies to chamomile, ragweed, or yarrow should avoid feverfew, but the primary concern should be potential drug interactions.

Choice D reason: Gastrointestinal side effects such as abdominal pain, gas, nausea, vomiting, and diarrhea are important to note, but they do not pose as immediate a risk as the potential for drug interactions.

A. Consume tyramine-free foods while taking the medicine. B. Be aware that difficulty sleeping and weight loss may occur. C. Notify the healthcare provider of any significant side effects.

Correct Answer is B

Explanation

Choice A reason: While consuming tyramine-free foods is crucial for clients taking monoamine oxidase inhibitors (MAOIs), it is not relevant for bupropion, which does not have the same dietary restrictions.

Choice B reason: Difficulty sleeping and weight loss are common side effects of bupropion. It is important for clients to be aware of these potential issues so they can manage them appropriately and report any significant concerns to their healthcare provider.

Choice C reason: While it is always good practice to notify the healthcare provider of significant side effects, this is a general instruction that does not specifically address the common side effects of bupropion, which the client should be particularly aware of.

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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

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Correct Answer is A

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Correct Answer is B

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