A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?

Warfarin

Hydrochlorothiazide

Dicloxacillin

Esomeprazole

Answer and Explanation

The Correct Answer is A

A.   Garlic may potentiate the effects of warfarin, an anticoagulant medication. When taken together, garlic can increase the risk of bleeding due to its antiplatelet properties, potentially leading to an increased risk of bruising or bleeding episodes.
B.   Hydrochlorothiazide is a diuretic medication used to treat hypertension and edema. There is no known significant interaction between hydrochlorothiazide and garlic.
C.   Dicloxacillin is an antibiotic medication from the penicillin class. There is no known significant interaction between dicloxacillin and garlic.
D.   Esomeprazole is a proton pump inhibitor (PPI) used to reduce stomach acid production. There is no known significant interaction between esomeprazole and garlic.

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Correct Answer is B

Explanation

A. There is no need for change of antibiotic as there is no cross-rectivity between macrolides and penicillins.
B. Given the client's severe allergy to penicillin, it would be safe to administer erythromycin, a macrolide, as there is no risk of cross-reactivity.
C. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, but premedicating the client with diphenhydramine is not necessary.
D. Changing the route of administration would not alter the risk of an allergic reaction.

A. "Swish the medication in your mouth." B. "Take the medication with meals." C. "Use a straw when taking theme D. "Drink at least 8 ounces of water after taking the medication."

Correct Answer is A

Explanation

A. Nystatin oral suspension is typically swished around the mouth before swallowing to ensure adequate coverage of affected areas, such as the oral mucosa. This helps to maximize the medication's contact with fungal infections in the mouth.
B. This instruction is not necessary for nystatin oral suspension. Nystatin oral suspension can be taken with or without food, as directed by the healthcare provider. Therefore, there is no specific requirement to take it with meals.
C. This instruction is not necessary for nystatin oral suspension. Using a straw is not typically recommended for taking oral medications unless specifically instructed by a healthcare provider. Therefore, this instruction is not relevant to the administration of nystatin oral suspension.
D. This instruction is not necessary for nystatin oral suspension. While drinking water after taking medication is generally a good practice to ensure proper swallowing and hydration, it is not specifically required for nystatin oral suspension.

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A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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