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A year ago
A young adult female patient who takes a combination oral contraceptive (OCP) will begin taking an antibiotic. When teaching the patient about this medication, the nurse will
 
  a. recommend using a backup method of contraception.
  b. suggest that she switch to an injectable form of contraception.
  c. tell her that the antibiotic is less effective if she is taking OCPs.
  d. tell her the antibiotic has a greater risk for toxicity while taking OCPs.
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A year ago
ANS: A
Gut bacteria are necessary to hydrolyze estrogen conjugates into free estrogens. Concurrent antibiotic administration can alter these bacteria and prevent the optimal absorption and effectiveness of OCPs. A backup contraceptive method is recommended.
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