A nurse is caring for a client recently prescribed doxycycline (Doryx) for the treatment of a urinary tract infection. Which of the following statements below applies to doxycycline (Doryx)?
(Select All that Apply.)

This medication should not be taken if you are lactating

This medication can cause hyperglycemia

This medication may cause photosensitivity

This medication should not be taken with antacids

This medication may cause discoloration of the teeth

Answer and Explanation

Correct Answer : A,C,D,E

A. This medication should not be taken if you are lactating: Doxycycline is contraindicated in breastfeeding women as it can affect bone and teeth development in nursing infants.

B. This medication can cause hyperglycemia: Doxycycline is not known to cause hyperglycemia. This side effect is more common with certain steroids and antidiabetic drugs.

C. This medication may cause photosensitivity - Doxycycline can cause photosensitivity, making the skin more sensitive to sunlight and increasing the risk of sunburn.

D. This medication should not be taken with antacids: Doxycycline should not be taken with antacids or supplements containing calcium, magnesium, or aluminum as they can interfere with its absorption.

E. This medication may cause discoloration of the teeth: Doxycycline can cause permanent discoloration of the teeth if used during tooth development, which is why it is generally not recommended for children under 8 years or during pregnancy.

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Correct Answer is B

Explanation

A. Thromboembolic events: This is not a black box warning for ciprofloxacin.

B. This drug has a black box warning for causing tendon rupture: Ciprofloxacin, a fluoroquinolone, has a black box warning for the risk of tendonitis and tendon rupture, especially in older adults or those on corticosteroids.

C. Endometrial cancers: Ciprofloxacin is not associated with cancer.

D. Breast cancer: There is no link between ciprofloxacin and breast cancer.

A. Medications will need to be taken until the Mantoux test is negative B. A typical course of treatment usually involves 6 months of consistent medication use. C. Medications will need to be taken for the rest of the client's life, even if the client feels better. D. The client's family will also need to take medications to prevent infection.

Correct Answer is B

Explanation

A. Medications will need to be taken until the Mantoux test is negative: The Mantoux test (PPD) is used for diagnosis, not for monitoring treatment efficacy.

B. A typical course of treatment usually involves 6 months of consistent medication use. TB treatment typically requires at least 6 months of consistent medication adherence to fully eradicate the bacteria and prevent resistance.

C. Medications will need to be taken for the rest of the client's life, even if the client feels better: This is inaccurate. TB treatment is time-limited, though the full course must be completed.

D. The client's family will also need to take medications to prevent infection: Prophylactic treatment is not usually required for all family members, though they may need screening.

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A nurse is caring for a client recently prescribed doxycycline (Doryx) for the treatment of a urinary tract infection. Which of the following statements below applies to doxycycline (Doryx)? (Select All that Apply.)

Nursing Test Bank

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The nurse is caring for a client receiving ciprofloxacin for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?

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A nurse is caring for a client recently prescribed doxycycline (Doryx) for the treatment of a urinary tract infection. Which of the following statements below applies to doxycycline (Doryx)?
(Select All that Apply.)