A patient will begin taking immunosuppressant drugs for ...

[nramada]

A patient will begin taking immunosuppressant drugs for rheumatoid arthritis. The nurse will caution this patient to avoid which dietary supplement?
 
  a. Black cohosh
  b. Echinacea
  c. Feverfew
  d. Glucosamine

Question 2

A patient is to begin taking doxycycline to treat a rickettsial infection. Which statement by the patient indicates a need for teaching about this drug?
 
  a. I should consult my provider before us-ing laxatives or antacids while taking this drug.
  b. I should not take a calcium supplement or consume dairy products with this drug.
  c. I should take this drug with food to en-sure more complete absorption.
  d. If I get diarrhea, I should stop taking the drug and let my provider know imme-diately.

[juicepod]

Answer to Question 1

B
Echinacea stimulates the immune system so it should not be used in patients with autoimmune disease such as RA; it also compromises the effectiveness of immunosuppressive drugs. Black cohosh, feverfew, and glucosamine are not contraindicated in patients with RA.

Answer to Question 2

C
Absorption of tetracyclines is reduced in the presence of food. The tetracyclines form insoluble chelates with calcium, iron, magnesium, aluminum, and zinc, so patients should not take tetra-cyclines with dairy products, calcium supplements, or drugs containing these minerals. Patients who experience diarrhea should stop taking the drug and notify the provider so they can be tested for C. difficile infection.

[nramada]

Thanks for the timely response, appreciate it

[nanny]

Excellent