A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?

Echinacea

Flaxseed

Ginger

Glucosamine

Answer and Explanation

The Correct Answer is A

A.   Echinacea may stimulate the immune system, and in individuals with autoimmune disorders like SLE, this immune stimulation can exacerbate the condition.
B.   Flaxseed is generally considered safe for individuals with SLE.
C. Ginger is generally considered safe for individuals with SLE.
D.   Glucosamine is generally considered safe for individuals with SLE.

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Correct Answer is A

Explanation

A. The first action is to place the client in a supine position. The client might experience a first-dose phenomenon, which is a sudden and severe drop in blood pressure within 1 to 3 hours of taking the medication. The nurse should place the client in a supine position to prevent orthostatic hypotension and syncope.
B. This should be done after placing the client in a supine position to assess for postural changes.
C. This should be done after placing the client in a supine position to assess for postural changes.
D. The nurse should not administer a saline bolus unless prescribed by the provider, as this could cause fluid overload and worsen heart failure.

A. Blurred vision B. Dry mouth C. Tinnitus D. Headache

Correct Answer is D

Explanation

A. Blurred vision is not a common adverse effect of the meningococcal conjugate vaccine.
B. Dry mouth is not a common adverse effect of the meningococcal conjugate vaccine.
C. Tinnitus is not a common adverse effect of the meningococcal conjugate vaccine.
D. Headache is a common side effect after receiving the meningococcal conjugate vaccine.

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A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?

Nursing Test Bank

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Correct Answer is A

Explanation

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A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?

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