A client is receiving education about St. John's wort from a healthcare professional. Select the statement that indicates the client requires further education.
St. John's wort can be used to treat mild depression.
St. John's wort will help reduce my stomach upset.
St. John's wort can be used with other antidepressants.
St. John's wort may cause a rash with sun exposure.
The Correct Answer is C
A. St. John’s wort can be used to treat mild depression: St. John’s wort is an herbal supplement commonly used to manage mild to moderate depressive symptoms. It works by influencing neurotransmitters such as serotonin, dopamine, and norepinephrine, promoting mood stabilization.
B. St. John’s wort will help reduce my stomach upset: St. John’s wort is not typically used for gastrointestinal relief, can actually cause stomach upset (nausea, constipation, or diarrhea) as a side effect.
C. St. John’s wort can be used with other antidepressants: Combining St. John’s wort with other antidepressants can cause serious interactions, such as serotonin syndrome. It may also alter the metabolism of many drugs by inducing liver enzymes, reducing their effectiveness or increasing toxicity.
D. St. John’s wort may cause a rash with sun exposure: The herb increases photosensitivity. Clients taking St. John’s wort should use sunscreen and limit sun exposure to prevent phototoxic reactions such as rashes or burns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Insulin lispro begins reducing blood sugar levels within 15 minutes of administration: Onset of action refers to the time it takes for a drug to produce its first measurable therapeutic effect. In this case, insulin lispro starts lowering blood glucose within 15 minutes.
B. A minimum of 10 units of insulin lispro must be injected to have a therapeutic effect: This describes the minimum effective dose required for a therapeutic response, not the time it takes for the medication to begin working. Dose relates to potency and individual response rather than onset.
C. Insulin lispro has the greatest effect on blood sugar levels 60 minutes after administration: This represents the peak action of the medication the point at which the drug concentration and effect are at their highest not the onset of its action.
D. The effects of insulin lispro wear off approximately 5 hours after administration: This describes the duration of action, or how long the drug continues to produce a therapeutic effect, rather than the time it first begins to act.
Correct Answer is C
Explanation
A. Hematuria due to bladder cancer: Saw palmetto has no role in treating hematuria or bladder malignancies. Its effects target benign prostatic enlargement rather than bleeding or malignant conditions of the urina ry tract.
B. Post surgical urinary retention: Urinary retention after surgery is usually related to anesthesia or mechanical obstruction and is treated with catheterization or medical management, not herbal supplements like saw palmetto.
C. Nocturia due to prostatic hypertrophy: Saw palmetto is commonly used to manage symptoms of benign prostatic hyperplasia (BPH), such as nocturia, urinary hesitancy, and decreased urinary flow. It is believed to work by inhibiting 5-alpha-reductase and reducing prostate tissue swelling.
D. Pain from cystitis: Cystitis, or bladder inflammation, is typically caused by infection and requires antimicrobial therapy. Saw palmetto does not have antibacterial or anti-inflammatory effects strong enough to relieve pain or inflammation from cystitis.
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