A nurse is providing education about tetracycline (Sumycin). ...

[rosent76]

A nurse is providing education about tetracycline (Sumycin). Which statement by the patient best demonstrates understanding of the administration of this medication?
 
  a. I should not take this medication with milk or other dairy products.
  b. I should not worry if I experience an acnelike rash with this medication.
  c. I should take an antacid, such as Tums, if I experience gastrointestinal distress.
  d. I should take this antibiotic with a calcium supplement to improve absorption.

Question 2

A patient will be discharged home to complete treatment with intravenous cefotetan with the assistance of a home nurse. The home care nurse will include which instruction when teaching the patient about this drug treatment?
 
  a. Abstain from alcohol consumption during therapy.
  b. Avoid dairy products while taking this drug.
  c. Take an antihistamine if a rash occurs.
  d. Use nonsteroidal anti-inflammatory drugs (NSAIDs), not acetaminophen, for pain.

[nhea]

Answer to Question 1

ANS: A
The patient should avoid taking the medication with dairy products to help prevent chelation. An acnelike reaction would indicate an allergic response. Taking the medication with calcium-containing antacids or supplements should be avoided, because this also leads to chelation.

Answer to Question 2

ANS: A
Four cephalosporins, including cefotetan, can induce a state of alcohol intolerance and cause a disulfiram-like reaction when alcohol is consumed; therefore, patients should be advised to avoid alcohol. It is not necessary to avoid dairy products. Patients who experience a rash should report this to their provider. Cefotetan can also promote bleeding, so drugs that inhibit platelet aggregation should be avoided.

[rosent76]

Excellent

[aruss1303]

TYSM