A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan?

Take the drug on an empty stomach.

Take the drug along with a meal.

Take the drug along with milk or fruit juice.

Take the drug immediately after meals.

Answer and Explanation

The Correct Answer is A

A. Take the drug on an empty stomach is correct because tetracycline should be taken without food for optimal absorption, ideally 1 hour before or 2 hours after meals.

B. Take the drug along with a meal is incorrect as it can reduce the absorption of tetracycline.

C. Take the drug along with milk or fruit juice is incorrect because calcium and magnesium can bind to tetracycline, decreasing its effectiveness.

D. Take the drug immediately after meals is also incorrect as food can hinder absorption, making this timing ineffective for treatment.

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Correct Answer is A

Explanation

A. Spontaneous bleeding after taking an anticoagulant is a secondary action that occurs due to the anticoagulant's effect on blood clotting, which is an undesired effect when it leads to excessive bleeding.

B. Dizziness after starting an antihypertensive is a common secondary action related to the lowering of blood pressure, which can lead to hypotension and resultant dizziness.

C. Drowsiness after taking an antihistamine is a well-known secondary action, especially with first-generation antihistamines, which can cause sedation as a side effect.

D. Diarrhea after taking an antibiotic is a secondary action that can occur due to disruption of the normal gut flora, leading to gastrointestinal upset. All these examples illustrate secondary effects of medications.

A. improved sleep B. decreased anxiety C. reduced appetite D. weight loss E. interest in physical activity

Correct Answer is ["A","B","E"]

Explanation

A. Improved sleep is an indication that fluoxetine is effectively alleviating depressive symptoms, as sleep disturbances are common in depression.

B. Decreased anxiety suggests that the medication is effective, as fluoxetine can help reduce both depressive and anxiety symptoms.

C. Reduced appetite is typically not a sign of effectiveness; it may indicate a side effect or worsening of depression rather than improvement.

D. Weight loss is also not a clear indicator of effectiveness; it may indicate adverse effects or worsening mental health symptoms rather than improvement in mood or behavior.

E. Interest in physical activity indicates improvement in mood and energy levels, which are positive signs of fluoxetine's effectiveness.

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A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Drugs can produce a wide variety of effects in addition to the desired pharmacological effect. Sometimes the drug dose can be adjusted so that the desired effect is achieved without producing undesired secondary reactions. Which are examples of this secondary action?

Correct Answer is A

Explanation

The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is educating a patient about the use of famotidine. Which statement by the patient indicates the need for further teaching?

The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

The doctor orders a patient to take Fakelixir (mixturezole difakate) 350 mg PO BID. Based on the total volume amount (AFTER reconstitution), how many doses will this bottle of Fakelixir (mixturezole difakate) provide to the patient?

A patient on warfarin is found to have an INR of 5.0. What is the most appropriate action by the nurse?

A male client is concerned with the inability to have an erection and asks for medication to help with this problem. Which information in the client's medication record would contraindicate the client from being prescribed medication for this condition?

Interpret and spell the abbreviation: tab

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