A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking Which of the following herbal preparations reduces the effectiveness of this birth control method?

Saw palmetto

Ginseng

St. John's wort

Gingko Siloba

Answer and Explanation

The Correct Answer is C

St. John's wort is a form of alternative form of medicine used for psychiatric illnesses such as depression and other mood disorders. It increases metabolism of estrogen and progesterone reducing the effectiveness of hormonal contraceptives which can lead to unplanned pregnancies.

A, B, D have no effect of oral contraceptives.

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Correct Answer is B

Explanation

Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.

A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents

C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal

D. Prophylactic antiemetics are given before chemotherapy sessions

A. Zolpidem B. Ibuprofen C. Omeprazole D. Senna

Correct Answer is D

Explanation

Senna is a laxative that works to stimulate bowel movements by irritating the intestinal lining in clients with constipation. In cases of small bowel obstruction, this can increase the risk of perforation or exacerbate the obstruction in cases.
A. Zolpidem is a sleep medication and is unlikely to affect the bowel obstruction.
B. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastric irritation but is not contraindicated in small bowel obstruction.
C. Omeprazole is a proton pump inhibitor used to reduce stomach acid production and is safe to use in small bowel obstruction.

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A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking Which of the following herbal preparations reduces the effectiveness of this birth control method?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should Withhold Which of the following medications?

Correct Answer is D

Explanation

A nurse is providing teaching to a client Who has a new diagnosis of Parkinson's disease. On Which of the following medications should the nurse prepare to instruct the client?

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

A nurse is evaluating teaching on a client Who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

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