A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?
Those with allergies to chamomile, ragweed, or yarrow should not take feverfew.
Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).
Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew.
Increased anxiety and nervousness have been reported by those taking feverfew.
The Correct Answer is A
Choice A reason:
Those with allergies to chamomile, ragweed, or yarrow should not take feverfew because feverfew belongs to the Asteraceae/Compositae family, which includes these plants. Individuals allergic to these plants may experience allergic reactions to feverfew, such as skin rashes, swelling, and difficulty breathing. It is crucial to avoid feverfew in these cases to prevent severe allergic reactions.
Choice B reason:
Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs), but this is not the most critical information compared to potential allergic reactions. Feverfew can inhibit platelet aggregation, which may increase the risk of bleeding when taken with NSAIDs or aspirin. However, the primary concern remains the potential for severe allergic reactions in sensitive individuals.
Choice C reason:
Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew, but these side effects are generally mild and manageable. While it is important to inform clients about possible gastrointestinal side effects, the risk of allergic reactions in individuals sensitive to chamomile, ragweed, or yarrow is more critical.
Choice D reason:
Increased anxiety and nervousness have been reported by those taking feverfew, but these side effects are less common and typically not severe. The primary concern should be the potential for allergic reactions, which can be life-threatening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Notifying the healthcare provider of the contraindication to tetracyclines is not necessary in this context. Doxycycline, a type of tetracycline, is commonly prescribed and does not have a direct contraindication with birth control pills. However, the nurse should be aware of potential interactions and advise the client accordingly.
Choice B Reason:
Advising the client that the birth control pills will be less effective while taking doxycycline hyclate is crucial. Antibiotics like doxycycline can reduce the effectiveness of hormonal contraceptives, increasing the risk of unintended pregnancy. The client should be informed about this interaction and advised to use an additional non-hormonal method of contraception, such as condoms, while taking the antibiotic and for a short period after completing the course.
Choice C Reason:
Instructing the client to take the two medications at least two hours apart is not relevant in this case. The interaction between doxycycline and birth control pills is not related to the timing of administration but rather to the potential reduction in the effectiveness of the contraceptive.
Choice D Reason:
Encouraging the client to stop taking birth control pills until she has finished taking all the doxycycline hyclate is not advisable. Stopping birth control pills can lead to a disruption in the contraceptive regimen and increase the risk of unintended pregnancy. Instead, the client should be advised to use an additional method of contraception.
Correct Answer is C
Explanation
Choice A reason: Constipation is typically a symptom of hypothyroidism, not hyperthyroidism. If a client is taking too much levothyroxine, they are more likely to experience symptoms of hyperthyroidism, such as diarrhea, rather than constipation.
Choice B reason: Intolerance to cold is a common symptom of hypothyroidism, indicating that the thyroid hormone levels are too low. If the client is taking too much levothyroxine, they would more likely experience heat intolerance due to increased metabolic activity.
Choice C reason: Restlessness is a symptom of hyperthyroidism, which can occur if a client is taking too much levothyroxine. Excess thyroid hormone can lead to increased nervous system activity, causing symptoms such as restlessness, anxiety, and tremors.
Choice D reason: Decreased appetite is more commonly associated with hypothyroidism. In contrast, hyperthyroidism, which can result from taking too much levothyroxine, often leads to an increased appetite.
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