A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?

Utilize an additional form of contraception.

Immediately discontinue the oral contraceptive.

Ensure a 12-hour gap between taking the medications.

Avoid prolonged exposure to direct sunlight.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Erythromycin is an antibiotic that can potentially reduce the effectiveness of oral contraceptives. Therefore, patients who are taking both erythromycin and an oral contraceptive should be advised to use an additional form of contraception to prevent unintended pregnancy.

Choice B rationale

Immediately discontinuing the oral contraceptive is not necessary when taking erythromycin. Instead, the patient should be advised to use an additional form of contraception.

Choice C rationale

Ensuring a 12-hour gap between taking the medications is not a recommended strategy for managing the potential interaction between erythromycin and oral contraceptives. The patient should be advised to use an additional form of contraception.

Choice D rationale

Avoiding prolonged exposure to direct sunlight is a general recommendation for sun protection, but it is not specifically related to the use of erythromycin or oral contraceptives.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

The best time to take ferrous sulfate is not necessarily at bedtime. It’s more important that the medication is taken on an empty stomach.

Choice B rationale

Crushing the tablets is not recommended. Enteric-coated tablets should be swallowed whole.

Choice C rationale

Ferrous sulfate is best absorbed on an empty stomach. The patient should wait for 2 hours after meals before taking the tablet to promote the best absorption of the medication.

Choice D rationale

Taking the tablet with a daily multivitamin is not typically recommended. Some vitamins and minerals can interfere with the absorption of ferrous sulfate.

A. Eliminate spinach and other green vegetables from the diet. B. Avoid the use of nonsteroidal anti-inflammatory drugs (NSAIDs). C. Continue to obtain scheduled laboratory bleeding tests. D. Keep an antidote available in case of hemorrhage.

Correct Answer is B

Explanation

Choice A rationale

Eliminating spinach and other green vegetables from the diet is not necessary for a client taking dabigatran. Unlike warfarin, another anticoagulant that interacts with vitamin K found

in green leafy vegetables, dabigatran does not have this interaction. Therefore, clients taking dabigatran do not need to modify their intake of green vegetables.

Choice B rationale

The nurse should instruct the client to avoid the use of nonsteroidal anti-inflammatory drugs (NSAIDs) while taking dabigatran. NSAIDs can increase the risk of bleeding, which is already elevated in clients taking anticoagulants like dabigatran.

Choice C rationale

Continuing to obtain scheduled laboratory bleeding tests is not necessary for a client taking dabigatran. Unlike some other anticoagulants, dabigatran does not require regular blood tests to monitor its effectiveness or adjust its dosage.

Choice D rationale

Keeping an antidote available in case of hemorrhage is not typically part of the teaching plan for a client taking dabigatran. While an antidote for dabigatran does exist, it is usually administered in a hospital setting in the event of life-threatening bleeding or emergency surgery.

View Question and Answer

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

A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets.To promote the best absorption of the medication, what information should the nurse include in the discharge instructions?

Correct Answer is C

Explanation

A client with atrial fibrillation has been prescribed dabigatran.What instruction should the nurse include in this client’s teaching plan?

Correct Answer is B

Explanation

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client’s plan of care?

After administering five doses of filgrastim, the nurse observes that the patient’s white blood cell count has increased from 2,500/mm^3 to 5,000/mm^3.What action should the nurse take?

A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?

A client is receiving intravenous vancomycin, and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times would provide the best determination of these levels?

A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?

The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease.What should be included in this patient’s care plan?

A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?