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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Tremors can be a side effect of pregabalin and may indicate a need to adjust the dosage or reconsider the medication; notifying the healthcare provider is appropriate.
B. Administering an antianxiety drug without consulting the healthcare provider may not address the underlying cause of the tremors and could lead to further complications.
C. Orthostatic blood pressure readings are not directly related to the symptom of hand tremors caused by pregabalin.
D. While glucose levels could influence symptoms, tremors are more likely a side effect of pregabalin rather than an indication of altered glucose levels.

A. Demonstrate how to select dose based on before meal blood sugar readings. B. Provide information on increasing medication dosage if ketoacidosis occurs. C. Teach the client self-injection skills for daily subcutaneous administration. D. Explain to the family how to inject this medication for severe hypoglycemia.

Correct Answer is C

Explanation

A. Insulin glargine is a long-acting insulin and is not adjusted based on before meal blood sugar readings; it's typically administered once daily at the same time each day.
B. Adjusting medication dosage for ketoacidosis is not appropriate; insulin glargine is used for baseline blood glucose control, and ketoacidosis requires specific management.
C. Insulin glargine is administered subcutaneously and requires teaching on proper self-injection techniques.
D. Insulin glargine is used for long-term glucose control, not for managing acute severe hypoglycemia, so teaching family injection for hypoglycemia is not relevant here.

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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?

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