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. Within 1 to 2 months. While some recovery may be seen within the first 1 to 2 months, it is typically an ongoing process, and significant improvements are often seen over a longer period.
B. Within 2 to 3 weeks. This timeframe is too short for significant recovery of neurologic function. Initial recovery is most rapid in the first few weeks, but continued improvement is expected over months.
C. Within 6 to 9 months. While recovery can continue up to 6 to 9 months or longer, most significant improvements in neurologic function occur within the first 3 to 6 months.
D. Within 3 to 6 months. This is the period during which the most significant recovery of neurologic function typically occurs following a stroke.
Correct Answer is C
Explanation
A. A resident with dementia who requires assistance eating: While this resident might have complications due to a weakened immune system, chemotherapy significantly increases the risk of complications from herpes zoster.
B. A resident who is sexually active: Sexual activity does not increase the risk of complications from herpes zoster.
C. A resident who is undergoing chemotherapy for breast cancer: Chemotherapy significantly compromises the immune system, making the resident more susceptible to severe complications from herpes zoster.
D. A resident recovering from a hip fracture: While recovering from a hip fracture is a stressor, it does not have as significant an impact on the immune system as chemotherapy.
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