The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

It increases the risk of bleeding.

It enhances the effects of all drugs.

It counteracts the effects of central nervous system (CNS) depressants.

It accelerates the metabolism of some drugs.

Answer and Explanation

The Correct Answer is A

a) St. John's Wort is known to increase the risk of bleeding, especially when used with anticoagulant medications. This effect is particularly concerning and may require adjustments in the treatment plan.

b) While St. John's Wort can interact with various drugs, increasing the risk of bleeding is a more immediate concern.

c) St. John's Wort does not counteract the effects of CNS depressants; it may actually enhance the effects of these drugs.

d) St. John's Wort is known to induce the metabolism of some drugs, potentially reducing their effectiveness, but this is not as immediately concerning as the risk of bleeding.

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Correct Answer is A

Explanation

a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.

b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.

c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.

d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.

A. "Apply the medication over the entire body twice daily for two weeks." B. "Use the medication for at least one week after the symptoms have cleared." C. "Sun exposure will minimize the drug's effects." D. "This drug is effective after a single application."

Correct Answer is D

Explanation

a) Itraconazole is typically administered orally for fungal infections, not applied topically. This statement is incorrect.

b) Using the medication for at least one week after symptoms have cleared is not a standard instruction for itraconazole. Treatment duration is usually prescribed by the healthcare provider.

c) Sun exposure does not minimize the effects of itraconazole. This statement is inaccurate.

d) Itraconazole is not usually applied topically, but this option is the closest to the correct information. However, the more accurate statement would be that itraconazole is effective when taken systemically for fungal infections.

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The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?

Correct Answer is A

Explanation

A client presents with tinea corporis, and the prescriber orders itraconazole. When educating the client about this medication, the nurse will include which statement?

Correct Answer is D

Explanation

Which variables can help determine the client's response to a drug? (Select all that apply.)

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Naloxone is effective because of which action?

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The nurse will include which information when teaching a client about hydroxyzine?

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