A woman is diagnosed with bacterial vaginosis and will begin ...

[ashley]

A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl). What will the nurse teach the patient about this medication?
 
  a. Abstain from sexual intercourse while taking this medication.
  b. Do not consume alcohol while taking this drug and for 48 hours after stopping.
  c. Take this medication on an empty stomach to increase absorption.
  d. Topical preparations are ineffective for treating bacterial vaginosis.

Question 2

A woman who has menorrhagia is prescribed ibuprofen, and she asks the nurse how a pain medication can decrease uterine bleeding. The nurse will explain that this is most likely explained by ibuprofen's effects on
 
  a. estrogen levels.
  b. platelet aggregation.
  c. prostaglandin production.
  d. uterine endometrium.

[TheDev123]

Answer to Question 1

ANS: B
Metronidazole can cause a disulfiram-like reaction when taken with alcohol, so patients should be cautioned against using foods or drug products that contain alcohol. There is no need to abstain from sexual intercourse. Metronidazole should be taken with food. The topical preparation is effective against bacterial vaginosis.

Answer to Question 2

ANS: C
Ibuprofen blocks prostaglandin production, which decreases uterine bleeding and cramps. Ibuprofen does not affect estrogen levels. Its effects on platelet aggregation would most likely increase bleeding. It does not have effects on the uterine endometrium.