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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.
b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.
c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.
d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.
Correct Answer is C
Explanation
A) Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.
B) Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.
C) Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.
D) Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.
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