A female client is prescribed tetracycline for acne. When providing information regarding this drug, the nurse explains that tetracycline:
1. is contraindicated in people over 20 years old.
2. is classified as a narrow-spectrum antibiotic.
3. has been identified to be unsafe during pregnancy.
4. is used to treat a wide variety of disease processes.
Correct Answer: 3
Rationale 1: There is no indication that this drug is not safe for those over 20.
Rationale 2: Tetracycline is a broad-spectrum antibiotic.
Rationale 3: The drug is not safe for pregnant women as it can cross the placental barrier and cause mottling of the infant's teeth.
Rationale 4: This drug is used to treat specific types of infections.
Global Rationale: Some antibiotics are readily secreted in breast milk or cross the placenta. For example, tetracyclines taken by the mother can cause teeth discoloration in the newborn, and aminoglycosides can affect hearing. Some anti-infectives are pregnancy category D, such as minocycline, doxycycline, neomycin, and streptomycin.
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A nurse is caring for an 86-year-old frail female patient. During the assessment, the patient indicates that she has fallen 3 times in the month but has not injured herself to date. The nurse is aware there is a high potential for:
A) A hip fracture B) A fracture of the mandible C) An increased likelihood of confusion D) Noncompliance with preventive teaching
A patient who recently started therapy with an HMG-COA reductase inhibitor asks the nurse, "How long will it take until I see an effect on my LDL cholesterol?" The nurse gives which cor-rect answer?
a. "It will take 6 months to see a change." b. "A reduction usually is seen within 2 weeks." c. "Blood levels normalize immediately after the drug is started." d. "Cholesterol will not be affected, but triglycerides will fall within the first week."
Which of the following statements made by the client with CAD serves to alert the nurse that the client may be experiencing difficulty in adapting to the illness?
A. "I usually wait about 2 hours after I feel chest discomfort before calling my doc-tor to be sure it is really angina." B. "I know I will have some chest discomfort with some activities, so I carry my ni-troglycerin with me at all times." C. "When I was in the hospital last time for my heart attack, I felt afraid." D. "I feel a little anxious whenever I get chest discomfort."
The nurse is preparing to assess a patient with a suspected abdominal mass. Which techniques should the nurse use for this assessment?
Select all that apply. 1. Shine a light source across the abdomen. 2. Inspect by standing beside the patient. 3. Inspect from the patient's right side. 4. Inspect for symmetry and visible peristalsis. 5. Ask the patient to deep-breathe and inspect.