A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

Hard candy can be used for a dry mouth.

Another form of contraception is not needed.

Insomnia may occur while taking the medication.

Sensitivity to the sun can develop.

Answer and Explanation

The Correct Answer is B

Choice A reason: Hard candy can be used for a dry mouth, which is a common side effect of St. John's wort.

Choice B reason: Another form of contraception is needed, because St. John's wort can reduce the effectiveness of oral contraceptives and increase the risk of unplanned pregnancy. This information requires further instruction from the nurse.

Choice C reason: Insomnia may occur while taking the medication, which is another possible side effect of St. John's wort. The client should be advised to take the medication in the morning or afternoon, and avoid caffeine and alcohol.

Choice D reason: Sensitivity to the sun can develop, which is a rare but serious side effect of St. John's wort. The client should be instructed to wear sunscreen and protective clothing when exposed to sunlight.

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Correct Answer is B

Explanation

Choice A reason: Cheese and crackers are not a good snack to take with tetracycline, because cheese contains calcium, which can interfere with the absorption of tetracycline and reduce its effectiveness.

Choice B reason: Toasted wheat bread and jelly are a suitable snack to take with tetracycline, because they do not contain any dairy products or iron, which can also affect the absorption of tetracycline. Toasted bread may also help to settle the stomach and prevent nausea.

Choice C reason: Fruit-flavored yogurt is not a good snack to take with tetracycline, because yogurt is a dairy product that contains calcium, which can interfere with the absorption of tetracycline and reduce its effectiveness.

Choice D reason: Cold cereal with skim milk is not a good snack to take with tetracycline, because skim milk is a dairy product that contains calcium, which can interfere with the absorption of tetracycline and reduce its effectiveness.

A. Midmorning. B. No peak occurs. C. Midafternoon. D. Shortly after midnight.

Correct Answer is B

Explanation

Choice A reason: Midmorning is not a likely time for experiencing hypoglycemia after administering glargine insulin at 0800, because glargine insulin has a slow onset of action (about 1 hour) and does not have a pronounced peak effect. Glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day and night.

Choice B reason: No peak occurs is the correct answer for when hypoglycemia is most likely to occur after administering glargine insulin at 0800, because glargine insulin does not have a pronounced peak effect that could cause a sudden drop in blood glucose levels. Glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day and night.

Choice C reason: Midafternoon is not a likely time for experiencing hypoglycemia after administering glargine insulin at 0800, because glargine insulin has a long duration of action (about 24 hours) and does not have a pronounced peak effect. Glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day and night.

Choice D reason: Shortly after midnight is not a likely time for experiencing hypoglycemia after administering glargine insulin at 0800, because glargine insulin has a long duration of action (about 24 hours) and does not have a pronounced peak effect. Glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day and night.

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A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking an oral dose of a tetracycline reports gastrointestinal (GI) upset. Which snack should the nurse instruct the client to take with the tetracycline?

Correct Answer is B

Explanation

The nurse is teaching a client with type 1 diabetes mellitus (DM) about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is administered at 0800, when is the client most likely to experience hypoglycemia?

Correct Answer is B

Explanation

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