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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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