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 B
Explanation
A. Heart attacks due to increased effort to ambulate: While heart attacks are a concern, they are not directly related to musculoskeletal changes and posture.
B. Falls related to posture changes: Age-related changes such as decreased muscle mass and changes in posture increase the risk of falls.
C. Fractures due to poor uptake of calcium: While decreased calcium absorption can lead to fractures, age-related musculoskeletal changes like posture and muscle weakness are more directly linked to fall risk.
D. Respiratory failure due to kyphosis: Kyphosis can impact respiratory function, but the most direct risk from musculoskeletal changes in older adults is falls.
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.
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