A patient is to begin taking doxycycline to treat a rickettsial infection. Which statement by the patient indicates a need for teaching about this drug?
a. "I should consult my provider before us-ing laxatives or antacids while taking this drug."
b. "I should not take a calcium supplement or consume dairy products with this drug."
c. "I should take this drug with food to en-sure more complete absorption."
d. "If I get diarrhea, I should stop taking the drug and let my provider know imme-diately."
C
Absorption of tetracyclines is reduced in the presence of food. The tetracyclines form insoluble chelates with calcium, iron, magnesium, aluminum, and zinc, so patients should not take tetra-cyclines with dairy products, calcium supplements, or drugs containing these minerals. Patients who experience diarrhea should stop taking the drug and notify the provider so they can be tested for C. difficile infection.
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A patient is experiencing burning with urination and urgency. Which laboratory test result should the nurse monitor for this patient's manifestations?
1. serum creatinine 2. urine osmolality 3. BUN 4. urine culture
A client's spouse asks, "What evidence supports the possibility of genetic transmission of bipolar disorder?" Which is the best nursing reply?
A. "Clients diagnosed with bipolar disorders have alterations in neurochemicals that affect behaviors." B. "Higher rates of relatives diagnosed with bipolar disorder are found in families of clients diagnosed with this disorder." C. "Higher rates of relatives of clients diagnosed with bipolar disorder respond in an exaggerated way to daily stress." D. "More individuals diagnosed with bipolar disorder come from higher socioeconomic and educational backgrounds."
Which assessment finding in a client with Alzheimer disease would the nurse directly attribute to the disease's effect on acetylcholine?
1. Darkened urine 2. Inability to retain new information 3. Muscle cramps 4. Vomiting and diarrhea
Injectable progestins (DMPA, Depo-Provera) are a good contraceptive choice for women who:
a. Want menstrual regularity and predictability. b. Have a history of thrombotic problems or breast cancer. c. Have difficulty remembering to take oral contraceptives daily. d. Are homeless or mobile and rarely receive health care.