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Author Question: The nurse teaches the female patient receiving immune modulating drugs about the need to use barrier ... (Read 99 times)

mynx

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The nurse teaches the female patient receiving immune modulating drugs about the need to use barrier contraceptives.
 
  The patient says, I hate using barrier contraceptives. Why can't I just take oral contraceptives? What is the nurse's best response?
  A) Effects of oral contraceptives may be altered by liver changes or changes in immune response.
  B) Oral contraceptives increase the action of immune modulating drugs so dosage needs to be reduced.
  C) Immune modulators make oral contraceptives ineffective because of hormonal impact of drugs.
  D) Oral contraceptives are acceptable if barrier contraceptives are distasteful, but only high-estrogen pills can be used.

Question 2

The nurse is preparing a patient for discharge who will receive a prescription for an beta-hydroxy-beta-methylglutaryl coenzyme A (HMG-CoA) inhibitor.
 
  What statement by the patient demonstrates that they have a clear understanding of the teaching provided by the nurse? A) I will not need to follow that low-fat diet anymore because this drug will take care of my lipids.
  B) I should plan to take this drug before bedtime, because my body makes lipids mostly at night.
  C) After I start taking this drug, I will not have to worry about the exercise routine the doctor prescribed.
  D) I should take this drug first thing in the morning and make sure I drink a full glass of water.



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jlaineee

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Answer to Question 1

A
Feedback:
The use of barrier contraceptives is advised because the effects of oral contraceptives may be altered by liver changes or by changes in the body's immune response, potentially resulting in unexpected pregnancy. The other options conflict with this information and are incorrect.

Answer to Question 2

B
Feedback:
HMG-CoA inhibitors should be taken at bedtime because the body produces lipids mostly at night. Diet and exercise are still important when taking these drugs because the drug is most effective in combination with other lipid-lowering actions.





 

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