The clinic nurse is providing health teaching to a patient who has been prescribed doxycycline (Doxycin). What is a priority teaching point for this patient?
A) Stay out of the sun.
B) Avoid sexual activity.
C) Take an antacid with the drug if nausea occurs.
D) Chew the tablets completely before swallowing.
A
Feedback:
Encourage the patient to apply sunscreen and wear protective clothing if sun exposure cannot be avoided to protect exposed skin from rashes and sunburn associated with photosensitivity reactions. If the patient is a woman the nurse may advise the patient to use barrier methods of contraceptives (if she is taking oral contraceptives) due to the drug–drug interaction but the patient would not be told to avoid sexual activity. Antacid therapy and chewing the tablets would be inaccurate information.
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a. Vitamin B12 b. Vitamin D c. Iron d. Folic acid
The nurse is concerned about the multiple medications prescribed for an older client, because the more medications the client is taking:
a. the more likely the client will need social services assistance. b. the more likely the client is to be compliant with medications. c. the less likely the client is to experience medication errors. d. the greater the risk for medication errors.
The concept of prevention is a key component of modern community health practice. What is the goal of tertiary prevention?
A) General health promotion, such as nutrition, hygiene, exercise, and environmental protection B) Specific health promotion, such as immunizations and the wearing of protective devices to prevent injuries C) Detect and treat a problem at the earliest possible stage when disease or impairment already exists D) Limit disability and rehabilitate or restore affected people to their maximum possible capacities
An older patient recovering from total hip replacement surgery 8 hours ago has not been able to void spontaneously. Which actions should the nurse take to assist this patient? Select all that apply.
A. Palpate the bladder for distention. B. Turn onto the left side. C. Insert an indwelling urinary catheter. D. Increase fluids. E. Complete a bladder scan at the bedside.