A nurse instructs the patient that if ciprofloxacin (Cipro) is taken with antacids, absorption is

Not affected

delayed

increased

decreased

Answer and Explanation

The Correct Answer is D

A. Not affected:

This choice suggests that taking ciprofloxacin with antacids does not alter its absorption. However, this is not correct. When ciprofloxacin is taken with antacids containing certain ions (such as aluminum, magnesium, or calcium), the absorption of ciprofloxacin can indeed be affected due to the formation of insoluble complexes, leading to decreased absorption.

B. Delayed:

This choice implies that taking ciprofloxacin with antacids delays its absorption. While it's true that the interaction between ciprofloxacin and certain antacids can alter absorption, the main effect is not typically a delay in absorption but rather a decrease due to the formation of insoluble complexes. Therefore, while "delayed" may somewhat describe the effect, it doesn't fully capture the nature of the interaction.

C. Increased:

This choice suggests that taking ciprofloxacin with antacids increases its absorption. However, this is not accurate. Antacids containing aluminum, magnesium, or calcium can interfere with the absorption of ciprofloxacin by forming insoluble complexes with the drug, leading to decreased absorption rather than an increase.

D. Decreased:

This choice correctly identifies the effect of taking ciprofloxacin with antacids. When ciprofloxacin is taken concurrently with antacids containing aluminum, magnesium, or calcium, the absorption of ciprofloxacin is decreased. The ions in the antacids bind with ciprofloxacin in the gastrointestinal tract, forming insoluble complexes that are poorly absorbed, thereby reducing the effectiveness of the antibiotic.

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Correct Answer is C

Explanation

A. The herbal product must contain only one active ingredient:

This statement is not a legal requirement contained in DSHEA. Many dietary supplements contain multiple active ingredients, such as vitamins, minerals, herbs, amino acids, and other substances. DSHEA does not mandate that dietary supplements contain only one active ingredient.

B. Effectiveness must be demonstrated by the manufacturer:

DSHEA does not require manufacturers to demonstrate the effectiveness of dietary supplements before marketing. Unlike pharmaceutical drugs, which must undergo premarket approval by the Food and Drug Administration (FDA) to demonstrate safety and efficacy, dietary supplements do not need to prove effectiveness to be marketed. Instead, manufacturers are responsible for ensuring the safety of their products and making truthful claims on product labels.

C. Dietary supplements must state that the product is not intended to diagnose, treat, cure, or prevent any disease:

This statement accurately reflects a legal requirement contained in DSHEA. Under DSHEA, dietary supplement labels must include a disclaimer stating that the product is not intended to diagnose, treat, cure, or prevent any disease. This disclaimer helps to clarify that dietary supplements are intended to support general health and well-being rather than to treat specific diseases or medical conditions.

D. Dietary supplements must be tested for safety prior to marketing:

While DSHEA requires manufacturers to ensure the safety of their dietary supplements, it does not mandate standardized premarket testing for safety by regulatory authorities. Instead, manufacturers are responsible for conducting safety assessments and ensuring that their products are safe for consumers. The FDA may take action against manufacturers if a product is found to be unsafe or if it violates regulatory requirements, but premarket testing is not a specific legal requirement under DSHEA.

A. Ginger root B. Garlic C. Kava D. Valerian

Correct Answer is A

Explanation

A. Ginger root:

Ginger root is well-known for its anti-nausea and anti-inflammatory properties. It has been used for centuries to alleviate motion sickness, nausea, and vomiting. Ginger works by helping to calm the stomach and alleviate gastrointestinal discomfort. Therefore, ginger root is a suitable herbal supplement for controlling nausea associated with motion sickness.

B. Garlic:

Garlic is not typically used for controlling nausea. While garlic has various health benefits, including cardiovascular and immune support, it is not known for its anti-nausea properties.

C. Kava:

Kava is an herbal supplement used for its anxiolytic and sedative effects. It is not commonly used for controlling nausea and may not be effective for alleviating symptoms of motion sickness.

D. Valerian:

Valerian is an herb primarily used for its sedative and anxiolytic properties. It is not commonly used for controlling nausea and would not be an appropriate choice for alleviating symptoms of motion sickness.

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A nurse instructs the patient that if ciprofloxacin (Cipro) is taken with antacids, absorption is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a legal requirement contained in the DSHEA?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who reports motion sickness about using an herbal supplement. The nurse should identify that the client can use which of the following herbal supplements to help control nausea?

Correct Answer is A

Explanation

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