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?

Flaxseed.

Glucosamine.

Echinacea.

Ginger.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Flaxseed is a rich source of omega-3 fatty acids and can have anti-inflammatory effects. It does not have any known contraindications with SLE.

Choice B rationale:

Glucosamine is often used to support joint health. It is not contraindicated in clients with SLE and may actually provide some benefits in terms of reducing joint pain and stiffness.

Choice C rationale:

Echinacea is an herbal supplement that is often used to boost the immune system. However, in clients with autoimmune disorders like SLE, boosting the immune system can actually exacerbate the disease. Therefore, Echinacea is contraindicated in clients with SLE.

Choice D rationale:

Ginger is a common herbal supplement that is often used for its anti-inflammatory and anti-nausea effects. It does not have any known contraindications with systemic lupus erythematosus (SLE)

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Correct Answer is B

Explanation

Choice A rationale:

Sublingual nitroglycerin should be taken without water. The tablet should be placed under the tongue and allowed to dissolve.

Choice B rationale:

It is recommended to take sublingual nitroglycerin before activities that might cause angina.

Choice C rationale:

The maximum recommended dosage is three tablets within 15 minutes, not four.

Choice D rationale:

Sublingual nitroglycerin should not be chewed. It should be allowed to dissolve under the tongue.

Correct Answer is ["1"]

Explanation

To solve this problem, we first need to convert the client’s weight from pounds to kilograms. Then, we can calculate the total amount of amikacin needed. Finally, we can find out how many milliliters of amikacin injection the nurse should administer.

Convert the client’s weight to kilograms: Given that 1 kg = 2.2 lbs, we can calculate the client’s weight in kilograms as follows:

Weightinkg=WeightinlbsConversionfactor=110lbs2.2lbs/kg≈50kgWeightinkg=ConversionfactorWeightinlbs=2.2lbs/kg110lbs≈50kg

Calculate the total amount of amikacin needed: The doctor ordered 5 mg of amikacin per kg of body weight, so the total amount of amikacin needed is:

Totalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mgTotalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mg

Find out how many milliliters of amikacin injection the nurse should administer: Given that the available amikacin injection is 250 mg/mL, we can calculate the volume of injection needed as follows:

Volumeofinjection=TotalamikacinConcentrationofinjection=250mg250mg/mL=1mLVolumeofinjection=ConcentrationofinjectionTotalamikacin=250mg/mL250mg=1mL

So, the nurse should administer 1 mL of amikacin injection.

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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

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has chronic stable angina and a new prescription for sublingual nitroglycerin.Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer amikacin 5 mg/kg IM to a client who weighs 110 lb. Available is amikacin injection 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.).

Correct Answer is ["1"]

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?