A nurse is caring for a client in a provider's office.
Select the 2 statements the nurse should include in the teaching. Select the 2 statements the nurse should include in the teaching.
"You should avoid the sun while taking this medication."
"You should use an alternate form of birth control while taking this medication."
" is common to experience headache or blurred vision while taking this medication."
"This medication may cause constipation."
"You should take this medication with dairy products."
Correct Answer : A,B
A. Doxycycline can increase sensitivity to sunlight, leading to a higher risk of sunburn. Advising the client to avoid the sun or use sun protection helps prevent this adverse effect.
B. Antibiotics like doxycycline can reduce the effectiveness of combined oral contraceptives. Using an alternate form of birth control ensures continued contraceptive protection while on the antibiotic.
C. While headaches and blurred vision can be side effects of doxycycline, they are not among the most common side effects that need to be emphasized during teaching.
D. Constipation is not a common side effect of doxycycline. Common side effects include gastrointestinal upset such as nausea, diarrhea, and esophageal irritation.
E. Doxycycline should not be taken with dairy products as calcium can interfere with its absorption, reducing the effectiveness of the medication. The client should be advised to take it with a full glass of water and to avoid dairy close to the time of taking the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying pressure to the IV site can cause further damage to the tissue and is not recommended. Pressure can exacerbate the infiltration and cause more discomfort to the patient.
B. Elevating the extremity helps reduce swelling and facilitates fluid reabsorption.
This position also reduces pain and further leakage of the infiltrated fluid.
C. Flushing the IV catheter is not appropriate as it can increase infiltration. This action would introduce more fluid into the surrounding tissue, worsening the condition.
D. Slowing the infusion rate does not address the infiltration and can exacerbate the problem. The infusion should be stopped immediately, not just slowed down.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
A. Antacids can interfere with the absorption of ferrous sulfate, reducing its effectiveness. The client should avoid taking antacids concurrently with the iron supplement.
B. Black stools are a common and expected side effect of taking iron supplements. This is generally not a cause for concern and does not require notifying the provider unless accompanied by other symptoms such as pain or blood in the stool.
C. Liquid forms of iron supplements can stain teeth. Rinsing the mouth after taking the medication can help prevent this staining. Even if taking a tablet, this practice can be a good habit to avoid any residual taste.
D. Vitamin C, which is present in orange juice, can enhance the absorption of iron from the gastrointestinal tract, making the iron supplement more effective.
E. Iron supplements are best absorbed on an empty stomach. However, if the client experiences gastrointestinal upset, it can be taken with a small amount of food, but avoiding dairy products and antacids is important.
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