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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["167"]
Explanation
To find the answer, we can use the following formula:
(mL of fluid / hours of infusion) = mL/hr
Substituting the values from the question, we get:
(500 mL / 3 hours) = 166.67 mL/hr
Rounding to the nearest whole number, we get 167 mL/hr.
Therefore, the nurse should program the infusion pump to deliver 167 mL/hr of dextrose in 5% water IV.
Correct Answer is ["0.8"]
Explanation
The correct answer is 0.8 mL.
To find the answer, we can use the following formula:
(mg of medication ordered / mg of medication per mL) = mL to administer
Substituting the values from the question, we get:
(80 mg / 60 mg per 0.6 mL) = 0.8 mL
Therefore, the nurse should administer 0.8 mL of enoxaparin sodium injection.

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