A female client who is starting a new prescription for doxycycline hydate 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 hydate.
Notify the healthcare provider of the contraindication to tetracyclines.
Encourage the client to stop taking birth control pills until she has finished taking all the doxycycline hydate.
The Correct Answer is B
A. Taking doxycycline and birth control pills at different times is not necessary; the concern is about the interaction between the two medications rather than timing.
B. Doxycycline can reduce the effectiveness of birth control pills, so advising the client of this interaction is important for preventing unintended pregnancy.
C. There is no specific contraindication to tetracyclines with birth control; the primary concern is the interaction and its effect on efficacy.
D. There is no need for the client to stop taking birth control pills; rather, additional contraceptive methods should be considered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}
Explanation
The client has a blood glucose level of 279 mg/dL, which is elevated and requires correction with insulin glargine, a long-acting insulin.
Providing a snack is appropriate to ensure the client maintains stable blood glucose levels, particularly after administering insulin, and to prevent hypoglycemia.
Correct Answer is C
Explanation
A. Hard candy is a recommended way to manage dry mouth, a common side effect of many medications, including herbal supplements like St. John's wort.
B. Insomnia is a potential side effect of St. John's wort, so this information is correct.
C. St. John's wort can interact with oral contraceptives, reducing their effectiveness. Therefore, it is essential to use an additional form of contraception.
D. St. John's wort can increase sensitivity to sunlight, making sun protection important for clients.
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