A nurse is assisting with the preparation of an educational program about the use of oral contraceptives. The nurse should include that which of the following herbal supplements reduces the effectiveness of oral contraceptives?

Ginger root

St. John's wort

Gingko biloba

Glucosamine

Answer and Explanation

The Correct Answer is B

A.   Ginger root is not known to reduce the effectiveness of oral contraceptives significantly.

B.   St. John's wort is an herbal supplement that can induce the cytochrome P450 enzyme system, leading to increased metabolism of oral contraceptives and potentially reducing their effectiveness. Women taking oral contraceptives should be cautioned against using St. John's wort or advised to use alternative contraceptive methods.
C.   Gingko biloba is not known to reduce the effectiveness of oral contraceptives significantly.
D.   Glucosamine is not known to reduce the effectiveness of oral contraceptives significantly.

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Correct Answer is A

Explanation

A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.

Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.

B. Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C. Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D. Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.

A. "I have made an appointment to see my dentist next week." B. "I will notify my provider before taking any other medications." C. "I'll be glad when my seizures stop so I can quit taking this medicine." D. "I will take this medication with meals."

Correct Answer is C

Explanation

A. Regular dental check-ups are important for clients taking phenytoin, as it can cause gum hyperplasia.

B. Phenytoin can interact with many medications, so it's essential for the client to inform their healthcare provider before starting any new medications.
C. Phenytoin is typically used as a long-term treatment for seizure disorders. Stopping the medication suddenly can increase the risk of seizures and should only be done under the guidance of a healthcare provider.
D. Phenytoin absorption can be affected by food, so taking it with meals can help reduce gastrointestinal side effects. However, it's important for the client to maintain consistent dosing and timing with or without meals.

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A nurse is assisting with the preparation of an educational program about the use of oral contraceptives. The nurse should include that which of the following herbal supplements reduces the effectiveness of oral contraceptives?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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A nurse is assisting with the preparation of an educational program about the use of oral contraceptives. The nurse should include that which of the following herbal supplements reduces the effectiveness of oral contraceptives?

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A nurse is caring for a client who is taking oral erythromycin. Which of the following statements by the nurse indicates the client is experiencing a common adverse effect of this medication?

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