The nurse is preparing discharge instructions for a client who will be taking penicillin G. The client tells the nurse she is also taking birth control pills. What is the nurse's best response?
1. "You may continue taking the birth control pills as your only means of contraception."
2. "If you feel you do not need to take the antibiotic, that is fine."
3. "You do not need to take your birth control pills while taking this medication."
4. "You will need to use another form of contraception while taking the antibiotic and for at least one month after you finish treatment."
Correct Answer: 4
Rationale 1: "You may continue taking the birth control pills as your only means of contraception" is incorrect because penicillin G may decrease the effectiveness of oral contraceptives.
Rationale 2: "If you feel you do not need to take the antibiotic, that is fine" is incorrect because penicillin G may decrease the effectiveness of oral contraceptives.
Rationale 3: "You do not need to take your birth control pills while taking this medication" is incorrect because penicillin G can decrease the effectiveness of oral contraceptives.
Rationale 4: Penicillin G can decrease the effectiveness of oral contraceptives.
Global Rationale: Penicillin G can decrease the effectiveness of oral contraceptives. The client should use a back up method of birth control; should take the antibiotic as prescribed and not stop when feeling better; and should continue to take their birth control while on the antibiotics.
You might also like to view...
A nurse is giving anticipatory guidance to the mother of a 10-month-old child. The nurse is focusing on providing a safe environment for the child. Which of the following is the best state-ment regarding childhood safety?
a. "The car seat should be placed in a for-ward-facing position." b. "The majority of deaths in children be-tween the ages of 1 and 3 years old are caused by contagious diseases." c. "Injuries are a major cause of death during infancy, especially for children 6 to 12 months old." d. "Measles causes more deaths in children younger than 5 years old than all other diseases combined."
Which of the following is not the role of the epidemiology nurse?
A) Caring for individual patients in need of health care B) Studying the distribution of disease in a population C) Controlling disease outbreaks D) Analyzing health data
A client with chronic renal failure informs the nurse he frequently uses over-the-counter medications to manage headaches. The nurse's best response would be:
A) "As long as you don't exceed the recommended dose, it is okay." B) "It would be better to use herbal supplements than most over-the-counter analgesics." C) "The FDA ensures that all over-the-counter medications are safe to consume." D) "You should check with your primary care provider before using any over-the-counter medications."
The male client looks at the medication in the cup and tells the nurse he does not take one of the tablets. Which should the nurse implement next?
1. Tell the client that these medications are correct. 2. Recheck the client's identity and the medications. 3. Call the pharmacy to bring the correct medication. 4. Remove the medication and document the incident.