Practice Question
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Answer Choices:
Correct Answer:
Use an additional form of contraception.
Rationale:
🔴 Erythromycin can interfere with the metabolism of hormonal contraceptives, particularly estrogen, by inducing hepatic enzymes.
🔴 This results in reduced effectiveness of the oral contraceptive, increasing the risk of unintended pregnancy.
🔴 The nurse should instruct clients to use a backup method, such as condoms, while taking erythromycin.
🔴 This recommendation protects the client during the period when hormonal protection may be compromised.
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This question is from RN-HESI Pharmacology Final Exam which contains 54 questions.
More Questions from This Exam
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client’s caregivers?
Answer Choices:
A. Explain that the client should not use the discus more than twice daily.
B. Clients using the discus may experience decreased blood pressure.
C. When using the discus, have the client breathe out rapidly into the mouthpiece.
D. Offer the discus to the client for use during an acute asthma attack.
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Answer Choices:
A. The medications can decrease acquired immunodeficiency syndrome (AIDS) related complications.
B. The viral load can be decreased to an undetectable level.
C. HIV infection is not cured by the antiretroviral regimen.
D. Antiretroviral medication prevents the transmission of the virus.
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Answer Choices:
A. Photosensitivity.
B. Rapid weight gain.
C. Gastric irritation.
D. Sexual dysfunction.
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Answer Choices:
A. Avoid taking on an empty stomach.
B. Consume 2 liters of water daily.
C. Reduce caffeine and acidic intake.
D. Double the dose if a dose is missed.
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client’s history is of greatest concern to the nurse in monitoring the client’s response to this medication?
Answer Choices:
A. Osteoarthritis.
B. Migraine headaches.
C. Chronic alcoholism.
D. Type 2 diabetes mellitus.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pharmacology
- Answer Choices: 4