An adolescent was recently diagnosed with acne vulgaris and was prescribed tetracycline. Which of the following statements indicates that the client requires further education?

"I'll take this medication at least an hour before I eat a meal".

"I'll take this medication with a full glass of milk".

"I'll take this medication with a full glass of water on an empty stomach".

"I'll stay out of direct sunlight while taking this medication"

Answer and Explanation

The Correct Answer is B

Answer: B. "I'll take this medication with a full glass of milk."

A. "I'll take this medication at least an hour before I eat a meal."
This statement indicates correct understanding. Tetracycline should ideally be taken on an empty stomach, which means taking it at least one hour before or two hours after meals to maximize absorption and effectiveness.

B. "I'll take this medication with a full glass of milk."
This statement indicates a need for further education. Tetracycline should not be taken with dairy products, including milk, because calcium in dairy can bind to the antibiotic and significantly reduce its absorption, making the medication less effective.

C. "I'll take this medication with a full glass of water on an empty stomach."
This statement demonstrates proper understanding. Tetracycline should be taken with a full glass of water and on an empty stomach to ensure optimal absorption and reduce the risk of gastrointestinal irritation.

D. "I'll stay out of direct sunlight while taking this medication."
This statement reflects correct knowledge about the medication. Tetracycline can increase sensitivity to sunlight (photosensitivity), so it is advisable for the client to avoid prolonged exposure to direct sunlight and use sunscreen to protect their skin.

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Correct Answer is B

Explanation

A. Restrain the toddler for 1 hr after the procedure: This is not necessary; the child should be monitored but not restrained.

B. Place the toddler in a side-lying, knee-chest position: This position helps to open the spaces between vertebrae, facilitating the lumbar puncture.

C. Ask another nurse to assist with holding the toddler in a prone position: The prone position is not appropriate for a lumbar puncture as it does not provide proper spinal alignment.

D. Swaddle the toddler in a warm blanket: While comforting, it is not relevant to the procedure itself.

A. Scoliosis B. Ankylosis C. Kyphosis D. Lordosis

Correct Answer is A

Explanation

A. Scoliosis: Scoliosis is characterized by an abnormal lateral curvature of the spine, commonly detected during routine physical exams in school-aged children and adolescents. This is the correct diagnosis for the described symptom.

B. Ankylosis: Ankylosis refers to joint stiffness or immobility due to fusion of the bones, not a lateral curvature of the spine. It is typically associated with conditions like ankylosing spondylitis and does not describe a spinal curvature.

C. Kyphosis: Kyphosis involves an abnormal forward curvature of the spine, often resulting in a hunchback appearance. It is not the same as a lateral curvature and thus does not fit the description given.

D. Lordosis: Lordosis is characterized by an exaggerated inward curve of the lower spine, commonly referred to as swayback. It does not involve lateral curvature and therefore is not relevant to the described condition.

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An adolescent was recently diagnosed with acne vulgaris and was prescribed tetracycline. Which of the following statements indicates that the client requires further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse in a family health clinic is collecting data as part of a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Correct Answer is A

Explanation

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