A patient has been prescribed the antibiotic doxycycline.
What is the most important information for the nurse to include when educating the patient?
Take the antibiotic with food to reduce gastric irritation.
Take antacids one hour before taking doxycycline.
Consume the medication with yogurt to prevent superinfection.
Take the medication with a full glass of water.
The Correct Answer is D
Choice A rationale
While taking the antibiotic with food can help reduce gastric irritation for some antibiotics, this is not the most important information for the patient prescribed doxycycline.
Choice B rationale
Antacids should not be taken one hour before taking doxycycline. Antacids can interfere with the absorption of doxycycline, making it less effective.
Choice C rationale
Consuming the medication with yogurt is not necessary to prevent superinfection. While yogurt is often recommended to restore normal flora during antibiotic treatment, it is not the most crucial information for a patient taking doxycycline.
Choice D rationale
Taking the medication with a full glass of water is the most important information for a patient prescribed doxycycline. This is to ensure that the medication reaches the stomach and does not cause irritation or ulcers in the esophagus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
T3 and T4 are thyroid hormones. While it’s important to monitor these levels in a patient on propylthiouracil therapy, they are not the most concerning lab value.
Choice B rationale
The white blood cell count should be the nurse’s primary concern. Propylthiouracil can cause agranulocytosis, a serious condition characterized by a decrease in the number of white blood cells, which can lead to infection.
Choice C rationale
Hemoglobin and hematocrit levels are important to monitor, but they are not the most concerning lab value in this context.
Choice D rationale
While it’s important to monitor platelet count in a patient on propylthiouracil therapy, it’s not the most concerning lab value.
Correct Answer is B
Explanation
Choice A rationale
Peripheral edema is not a common side effect of stopping steroids early. Peripheral edema is often associated with conditions such as heart failure, liver disease, or kidney disease.
Choice B rationale
Low blood pressure is a common side effect when a person stops taking steroids like prednisone abruptly. Prednisone is a glucocorticoid, a type of steroid that works to mimic the effects of cortisol, a hormone that the adrenal glands produce. The body uses cortisol to regulate the heart rate and blood pressure. When a person takes prednisone for longer than a few weeks, the body reduces the amount of cortisol it makes. When a person suddenly stops taking prednisone, the body cannot immediately produce enough cortisol to make up for the missing drug. This results in withdrawal symptoms, including low blood pressure.
Choice C rationale
Hyperglycemia, or high blood sugar, is not typically a withdrawal symptom of stopping steroids early. While long-term use of steroids can lead to increased blood sugar levels, stopping the medication does not typically cause hyperglycemia.
Choice D rationale
Weight loss can be a symptom of steroid withdrawal, but it is not the most immediate or common symptom that would be anticipated in a client who stopped taking their prescribed steroids early. More common symptoms include fatigue, joint pain, and low blood pressure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.