Jennifer takes birth control pills. Recently she was diagnosed with a urinary tract infection and is taking ciprofloxacin (Cipro). To maximize the therapeutic effects of both types of drugs, what should the nurse tell Jennifer?
Treat the urinary tract infection with another drug
Continue with both therapies simultaneously
Complete the ciprofloxacin therapy and use a backup method of contraception
Abstain from sexual activity until the end of ciprofloxacin therapy
The Correct Answer is C
A. Treat the urinary tract infection with another drug: This might be necessary if ciprofloxacin interacts significantly with birth control pills, but it's not the first line of action.
B. Continue with both therapies simultaneously: Some antibiotics can decrease the effectiveness of birth control pills. It's important to advise using a backup method during and for a short time after ciprofloxacin therapy.
C. Complete the ciprofloxacin therapy and use a backup method of contraception: This is the most appropriate advice. Jennifer should finish the antibiotic to treat the infection, but a backup method (like condoms) is needed to prevent pregnancy because ciprofloxacin might decrease the effectiveness of birth control pills.
D. Abstain from sexual activity until the end of ciprofloxacin therapy: While this would be completely effective, it might not be realistic for everyone. Using a backup method offers protection while still allowing sexual activity.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. "Type 2 diabetes": Type 2 diabetes is characterized by insulin resistance and relative insulin deficiency but not by a complete lack of insulin production.
B. Neither-they both result from the inability of the body to use insulin: This is incorrect as Type 1 diabetes results from the pancreas not producing insulin, while Type 2 diabetes involves insulin resistance.
C. "Both type 1 and type 2 diabetes": This is incorrect as only Type 1 diabetes is caused by no insulin secretion. Type 2 diabetes involves different pathophysiological mechanisms.
D. "Type 1 diabetes": Type 1 diabetes is characterized by the pancreas's inability to produce insulin due to autoimmune destruction of insulin-producing beta cells. This type of diabetes requires insulin therapy for management.
Correct Answer is C
Explanation
A. Patients usually require therapy for a shorter period: This is incorrect. TB therapy typically lasts for several months, longer than most other bacterial infections.
B. Patients with tuberculosis have no symptoms: This is incorrect. Many patients with active TB do exhibit symptoms such as cough, fever, night sweats, and weight loss.
C. Mycobacteria have a cell wall that is resistant to penetration by anti-infective drugs: This is correct. The mycobacterial cell wall is complex and impermeable, requiring specialized drugs and prolonged treatment.
D. Anti-tuberculosis drugs are used extensively for treating active disease, not preventing it: This is partially true, but TB drugs are also used for latent TB infection to prevent it from becoming active. Thus, it is not a primary reason differentiating TB therapy from other infections.
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