Chapter 61 - Pharmacology for the Primary Care Provider - Test Bank

Chapter 61: Tetracyclines Test Bank MULTIPLE CHOICE 1. A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the primary care nurse practitioner (NP) should: a. perform a pregnancy test. b. obtain baseline liver function and renal function tests. c. check her bilirubin and serum amylase levels. d. tell her she must stop using oral contraceptive pills. ANS: A Tetracycline antibiotics can permanently stain teeth in children and in pregnant women. Before using a tetracycline in a woman who may be pregnant, the NP should perform a pregnancy test. Other laboratory tests are not indicated for short-term use. Women taking oral contraceptive pills should continue to take them. DIF: Cognitive Level: Applying (Application) REF: 683 2. A young woman will begin taking minocycline. The primary care NP should tell this patient to: a. avoid taking antacids while taking this drug. b. expect headaches while taking this medication. c. always take the medication on an empty stomach. d. use a backup form of contraception if currently taking oral contraceptive pills. ANS: D Tetracyclines may decrease the effects of oral contraceptive pills, so patients should use a backup form of contraception. Headaches are uncommon. Minocycline may be taken with food and is not affected by antacids. DIF: Cognitive Level: Applying (Application) REF: 684 3. A patient is taking tetracycline for a rickettsial infection and reports having heartburn. The primary care NP should: a. ask the patient how the medication is taken. b. tell the patient to take the medication with food. c. tell the patient to use antacids when heartburn occurs. d. recommend drinking milk when taking the medication. ANS: A Patients should sit up for at least 30 minutes after taking tetracycline to avoid the risk of esophageal ulceration. Tetracycline should not be taken with food, antacids, or milk. DIF: Cognitive Level: Applying (Application) REF: 684 - 685 4. A patient has urethritis. The primary care NP should prescribe: a. minocycline. b. doxycycline. c. tetracycline. d. demeclocycline. ANS: A Minocycline is indicated to treat urethritis. DIF: Cognitive Level: Applying (Application) REF: 685