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 D
Explanation
A. Each evening: Turning the patient only once per day is insufficient to prevent pressure injuries.
B. Once every shift: This is also inadequate as it does not provide the frequent repositioning necessary to prevent pressure injuries.
C. Every 4 hours: While better than every shift, every 4 hours may still not be frequent enough to prevent pressure injuries in at-risk patients.
D. Every 2 hours: Frequent repositioning, such as every 2 hours, is essential for pressure injury prevention in bedfast patients.
Correct Answer is A
Explanation
A. Having a nonjudgmental attitude: A nonjudgmental attitude fosters trust and openness, encouraging the patient to provide honest answers.
B. Promising the patient not to tell anyone: This may be unethical and impractical as certain information may need to be shared for the patient's care.
C. Not asking personal questions: Personal questions are necessary to understand the patient's condition and provide appropriate care.
D. Including the family: Including the family might inhibit the patient's honesty due to fear of judgment or privacy concerns.
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