A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?
"You will need to drink lots of water."
"Did you know that St. John's wort can raise your blood pressure dramatically?"
"That is a great idea. Alternative therapies can be very helpful."
"You will feel better sooner if you include phenylalanine."
The Correct Answer is B
A. "You will need to drink lots of water." This response does not address the potential drug interaction issue between St. John’s wort and MAOIs.
B. "Did you know that St. John's wort can raise your blood pressure dramatically?" St. John’s wort can interact with MAOIs and may increase blood pressure, which is a significant concern.
C. "That is a great idea. Alternative therapies can be very helpful." This response overlooks the potential for dangerous interactions between St. John’s wort and MAOIs.
D. "You will feel better sooner if you include phenylalanine." Phenylalanine is not relevant to the interaction between St. John’s wort and MAOIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Grieving related to loss of son: The recent loss of his son is a significant and primary concern, leading to social withdrawal and other behaviours.
B. Social isolation related to depression: While social isolation is a concern, it stems from the primary issue of grieving.
C. Ineffective coping related to the number of recent losses: Ineffective coping is important but addressing the grieving process is more immediate and central.
D. Hopelessness related to relocation to a nursing home: Hopelessness due to relocation may contribute but is not the immediate primary issue in light of the recent death.
Correct Answer is A
Explanation
A. Prevention of infection and promote healing. Debridement helps remove dead tissue, which prevents infection and promotes healing.
B. Promoting movement in the affected area: While movement is important, debridement is primarily for removing necrotic tissue to prevent infection.
C. To increase the effectiveness of the skin graft: Debridement does help prepare the wound bed for grafting, but its main purpose is infection control and healing.
D. Promoting suppuration of the wound: Suppuration is not a goal of debridement; it is about cleaning the wound and preventing infection.
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