An outpatient client taking paroxetine states he started taking St. John's Wort. The client calls the nurse with complaints of a high fever, muscle stiffness, and sweating. The nurse should advise the client to
use a high-quality heating pad for the pain.
contact the primary care provider immediately.
call an orthopedic doctor to evaluate the symptoms.
start on a clear liquid diet and maintain bedrest.
The Correct Answer is B
B. The combination of paroxetine and St. John's Wort can lead to a potentially life-threatening condition known as serotonin syndrome. It is important for healthcare providers to be aware of potential drug interactions and to monitor patients closely when changes to their medication regimen occur.
A. Using a heating pad may provide temporary relief for muscle stiffness but does not address the underlying cause of the symptoms.
C. Given the symptoms described, involving an orthopedic doctor is not appropriate as the symptoms are not related to musculoskeletal issues.
D. A clear liquid diet and bed rest do not address the underlying issue in the client hence not an appropriate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. herbal products are not subject to the same rigorous standards of quality, purity, and consistency. Therefore, it is essential for individuals to purchase herbal products from reputable manufacturers that adhere to good manufacturing practices and quality control measures to ensure product safety and efficacy.
B. Herbal products can interact with prescription medications, over-the-counter drugs, or other supplements, leading to potential adverse effects or reduced efficacy of treatment.
C. Like pharmaceutical drugs, herbal therapies can have side effects, interactions, and contraindications. Some herbs may cause adverse reactions, allergic responses, or interactions with medications, leading to potentially serious consequences.
D. Many cultures have used herbs for centuries for various health benefits, and research continues to explore the potential therapeutic effects of herbal remedies.
E. It is important to note that not all herbs are inherently harmful. Many herbs used in traditional medicine systems and herbal therapies have a long history of safe use when used appropriately and in recommended doses.
Correct Answer is ["C","D","E"]
Explanation
C. Identifying community resources is essential as it provides the client with accessible support during crises.
D. Educating the family about creating a safe and structured environment is also important because it involves the client's support system in their care, which can help prevent future crises.
E. Assisting the client in developing more effective coping mechanisms is vital for long-term management and recovery, as it empowers the client to handle stressors more healthily.
A. Isolating the client from all stressful situations is not practical or beneficial as it does not teach coping mechanisms or resilience.
B. Having a one-to-one sitter might be necessary in some inpatient settings but is not feasible or indicated for outpatient care.
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