A nurse is teaching a client who has been prescribed tetracycline, a tetracycline antibiotic, for acne vulgaris.
Which of these instructions should the nurse include in the teaching? (Select all that apply.)
Take the drug on an empty stomach.
Avoid dairy products while taking this drug.
Use sunscreen or avoid exposure to sunlight.
Drink plenty of fluids while taking this drug.
Report any vaginal itching or discharge.
Correct Answer : A,B,C,D
The nurse should include these instructions in the teaching because:
• Tetracycline should be taken on an empty stomach to avoid interference with absorption.
• Dairy products should be avoided while taking this drug because they contain calcium, which can form insoluble complexes with tetracycline and reduce its effectiveness.
• Sunscreen or sun avoidance should be used while taking this drug because it can cause photosensitivity, which increases the risk of sunburn and skin damage.
• Plenty of fluids should be drunk while taking this drug because it can cause nephrotoxicity, which is damage to the kidneys.
Choice E is wrong because vaginal itching or discharge is not a common side effect of tetracycline. It may indicate a superinfection, which is a secondary infection caused by the disruption of normal flora by antibiotics.
This should be reported to the health care provider as soon as possible.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Maraviroc is aCCR5 coreceptor antagonistthat blocks the receptor site the HIV virus needs to interact with in order to enter the cell.It prevents viral fusion with host cell membrane by binding to the CCR5 receptor on CD4+ T cells and macrophages.
Choice B is wrong becauseAbacavir is wrong because it is anucleoside reverse transcriptase inhibitor (NRTI)that inhibits the enzyme reverse transcriptase, which converts viral RNA into DNA.
It does not prevent viral fusion with host cell membrane.
Choice C is wrong becauseDarunavir is wrong because it is aprotease inhibitor (PI)that inhibits the enzyme protease, which cleaves viral proteins into functional units.
It does not prevent viral fusion with host cell membrane.
Choice D is wrong becauseFosamprenavir is wrong because it is also aprotease inhibitor (PI)that inhibits the enzyme protease.
It does not prevent viral fusion with host cell membrane.
Correct Answer is D
Explanation
They are effective against a few types of organisms.Narrow spectrum antibiotics are antibiotics that work against a limited range of bacteria, usually either gram-positive or gram-negative.They are more specific and less likely to cause resistance or disrupt the normal flora.
Choice A) They are effective against gram-positive bacteria only.This is not true because some narrow spectrum antibiotics can also target gram-negative bacteria, such as aminoglycosides.
Choice B) They are effective against gram-negative bacteria only.This is not true because some narrow spectrum antibiotics can also target gram-positive bacteria, such as vancomycin.
Choice C) They are effective against one type of organism.This is too restrictive because narrow spectrum antibiotics can work against more than one type of organism, such as penicillins that target both streptococci and staphylococci.
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