Nokea
An adolescent female is prescribed amoxicillin for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of:
- A. Antacids.
- B. Oral contraceptives.
- C. Multiple vitamins.
- D. Protein shakes.
Correct Answer: B
Rationale: Amoxicillin can reduce the effectiveness of oral contraceptives, increasing the risk of unintended pregnancy. The nurse should educate the adolescent about this interaction and suggest additional contraceptive measures during antibiotic therapy.
You may also like to solve these questions
The nurse is teaching the parents of an infant with pyloric stenosis about postoperative care. Which instruction should be included?
- A. Resume regular formula immediately.
- B. Monitor for projectile vomiting.
- C. Keep the incision site covered with a bandage.
- D. Administer pain medication every 6 hours.
Correct Answer: B
Rationale: Monitoring for projectile vomiting ensures early detection of surgical complications.
The parents of an infant with myelomeningocele ask the nurse about their child's future mental ability. What is the nurse's best response?
- A. About one-third are mentally retarded, but it's too early to tell about your child.'
- B. About two-thirds are significantly retarded, and you'll know soon if this will occur.'
- C. Your child will probably be of normal intelligence since he demonstrates signs of it now.'
- D. You'll need to talk with the doctor about that, but you can ask later.'
Correct Answer: D
Rationale: Referring parents to the physician for detailed prognostic discussions ensures accurate information and avoids premature or speculative statements about mental ability.
The mother asks the nurse about her 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, the nurse should advise the mother:
- A. The child does not need to eat between-meal snacks.
- B. The child should eat the snacks the mother thinks are appropriate.
- C. The child should help with preparing his or her own snacks.
- D. The child will instinctively select nutritional snacks.
Correct Answer: C
Rationale: Involving the child in snack preparation promotes healthy choices and responsibility.
The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?
- A. Daily phone calls from the hospital nurse.
- B. Enrollment in community parenting classes.
- C. Twice-weekly clinic appointments.
- D. Weekly visits by a community health nurse.
Correct Answer: D
Rationale: Weekly in-home nurse visits provide direct monitoring and support for feeding and growth. Phone calls, classes, or clinic visits are less comprehensive.
The nurse is discharging an 8-month-old who weighs 15 lb from the hospital. The parents have put the child in the back seat of the car with the car seat facing the front. The nurse should:
- A. Ask the parents to wait while obtaining the correct car seat.
- B. Complete the discharge with the child sitting facing the front seat.
- C. Give the parents a manual on proper car seat placement.
- D. Explain the need for the rear-facing position and request assistance from a car seat technician.
Correct Answer: D
Rationale: Rear-facing car seats are recommended for infants under 2 years to protect their neck and spine.