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A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan?

A.

Take the drug on an empty stomach.

B.

Take the drug along with a meal.

C.

Take the drug along with milk or fruit juice.

D.

Take the drug immediately after meals.

Answer and Explanation

The Correct Answer is A

A. Take the drug on an empty stomach is correct because tetracycline should be taken without food for optimal absorption, ideally 1 hour before or 2 hours after meals.  

 

B. Take the drug along with a meal is incorrect as it can reduce the absorption of tetracycline.  

 

C. Take the drug along with milk or fruit juice is incorrect because calcium and magnesium can bind to tetracycline, decreasing its effectiveness.  

 

D. Take the drug immediately after meals is also incorrect as food can hinder absorption, making this timing ineffective for treatment.


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Correct Answer is B

Explanation

A. Prothrombin time (PT) is used to monitor warfarin therapy, not heparin therapy.

B. Activated partial thromboplastin time (aPTT) is the primary laboratory test used to assess the effectiveness of heparin therapy, measuring the time it takes for blood to clot and ensuring therapeutic levels.

C. The International normalized ratio (INR) is also related to warfarin therapy rather than heparin.

D. Serum potassium level is not relevant for assessing heparin therapy but may be monitored for other reasons.

Correct Answer is A

Explanation

A. Reye syndrome is correct because administering aspirin to children, especially during viral illnesses like the flu, can lead to this serious and potentially fatal condition characterized by acute encephalopathy and liver failure.

B. Excess antiplatelet action is incorrect; while aspirin does have antiplatelet effects, this is not the primary concern in a child with a viral illness.

C. Asthma is incorrect; while some individuals with asthma may have sensitivity to aspirin, it is not specifically related to the child's flulike illness.

D. Salicylate poisoning is incorrect; while high doses of aspirin can lead to toxicity, the immediate risk in the context of flu-like illness is Reye syndrome, which is a more specific concern.

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