When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:

never take with prescription medications

use only one herbal preparation at a time

take less than the recommended dose initially

check with a reputable pharmacist

Answer and Explanation

The Correct Answer is B

A. Never take with prescription medications:

This statement is not accurate. Many herbal products can interact with prescription medications, potentially leading to adverse effects or reduced efficacy. However, avoiding taking herbal products with prescription medications altogether may not be practical or necessary in all cases. Instead, it's essential to assess for potential interactions and consult with healthcare professionals.

B. Use only one herbal preparation at a time:

This is the correct approach. Using only one herbal preparation at a time allows for better identification of any allergic reactions or adverse effects. If multiple herbal products are taken simultaneously, it can be challenging to determine which product is causing a particular reaction. Starting with one product also simplifies monitoring for efficacy and safety.

C. Take less than the recommended dose initially:

While starting with a lower dose initially may be a prudent approach for some individuals, it is not necessarily the best way to identify allergic or adverse reactions. Taking less than the recommended dose may not provide a full assessment of the product's effects and may not adequately identify potential adverse reactions.

D. Check with a reputable pharmacist:

Consulting with a reputable pharmacist is essential for obtaining information about herbal products, including potential interactions, side effects, and recommended dosages. While a pharmacist can provide valuable guidance, they may not be present during the initial use of the herbal product to monitor for adverse reactions directly.

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Correct Answer is B

Explanation

A. Kanamycin (Kantrex):

Kanamycin is an aminoglycoside antibiotic, but it is not commonly used as a first-line treatment for MRSA infections. Aminoglycosides are not typically preferred for treating MRSA because they are not as effective against these resistant bacteria compared to other agents like vancomycin.

B. Vancomycin:

Vancomycin is a glycopeptide antibiotic and is considered the drug of choice for the treatment of MRSA infections, including serious bloodstream infections, pneumonia, and skin and soft tissue infections. It works by inhibiting cell wall synthesis in bacteria, including MRSA.

C. Streptomycin:

Streptomycin is another aminoglycoside antibiotic, similar to kanamycin. Like kanamycin, streptomycin is not typically used as a first-line treatment for MRSA infections because it is less effective against resistant strains compared to other agents like vancomycin.

D. Penicillin:

Penicillin and other beta-lactam antibiotics are ineffective against MRSA because MRSA is resistant to these antibiotics, including methicillin. Therefore, penicillin would not be an appropriate choice for treating MRSA infections.

Correct Answer is ["50"]

Explanation

To calculate the infusion rate in gtt/min, the nurse needs to use the formula:

Infusion rate (gtt/min) = Volume (mL) x Drop factor (gtt/mL) / Time (min)

Plugging in the given values, we get:

Infusion rate (gtt/min) = 400 mL x 60 gtt/mL / 480 min

Simplifying, we get:

Infusion rate (gtt/min) = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.

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When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client to the acute care floor with methicillin-resistant S. aureus. The nurse would expect the physician to order which of the following medications for the client?

Correct Answer is B

Explanation

Correct Answer is ["50"]

Explanation

The nurse is caring for a client who is being discharged with a prescription for tetracycline. Which of the following statements, if made by the client. demonstrates an understanding of the discharge instructions?

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Which of the following complaints by a man taking gentamycin would be most indicative that he is experiencing ototoxicity?

Which of the following drugs inhibit bacterial beta-lactamase?

A client has been prescribed an antibiotic and overhears the prescriber talking about acquired resistance. The client asks the nurse what this means. What is the nurse's best statement regarding acquired resistance?