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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. While feverfew can cause gastrointestinal issues, increased anxiety and nervousness are not commonly reported side effects.
B. Feverfew may cause allergic reactions in individuals with sensitivities to related plants like chamomile, ragweed, or yarrow, making this information crucial for preventing allergic reactions.
C. Gastrointestinal side effects like abdominal pain, gas, nausea, vomiting, and diarrhea are possible but are not as critical as the risk of an allergic reaction.
D. Interaction with aspirin or NSAIDs is a concern but is secondary to the importance of avoiding feverfew in individuals with known allergies to similar plants.

A. Peripheral edema B. Potassium 2.9 C. Urine output 280 ml D. Heart rate 79 E. Intracranial pressure 11mmHg F. Oxygen saturation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

1. Peripheral edema: Non-therapeutic side effect

- Mannitol is an osmotic diuretic that can cause fluid shifts leading to peripheral edema, which is an unintended side effect.

2. Potassium 2.9: Non-therapeutic side effect

- Hypokalemia (low potassium) is a potential side effect of mannitol due to increased urinary excretion of electrolytes.

3. Urine output 280 mL: Therapeutic result

- Mannitol increases urine output as it promotes diuresis, which is the intended therapeutic effect.

4. Heart rate 79: Unrelated finding

- The heart rate of 79 beats/minute is within normal limits and is not directly related to the administration of mannitol.

5. Intracranial pressure 11 mmHg: Therapeutic result

- The decrease in intracranial pressure from 24 mmHg to 11 mmHg is a desired therapeutic outcome of mannitol, as it helps reduce cerebral edema.

6. Oxygen saturation: Unrelated finding

- The oxygen saturation of 99% is within normal limits and is not directly related to the administration of mannitol.

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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?

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 B

Explanation

Exhibits Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the mannitol administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take?

A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take?

A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN), is receiving these daily prescriptions: atenolol, furosemide, and enalapril. Which assessments should the nurse include in evaluating the effectiveness of the medications? (Select all that apply.)

A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?

Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.