A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?

Those with allergies to chamomile, ragweed, or yarrow should not take feverfew.

Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).

Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew.

Increased anxiety and nervousness have been reported by those taking feverfew.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Those with allergies to chamomile, ragweed, or yarrow should not take feverfew because feverfew belongs to the Asteraceae/Compositae family, which includes these plants. Individuals allergic to these plants may experience allergic reactions to feverfew, such as skin rashes, swelling, and difficulty breathing. It is crucial to avoid feverfew in these cases to prevent severe allergic reactions.

Choice B reason:

Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs), but this is not the most critical information compared to potential allergic reactions. Feverfew can inhibit platelet aggregation, which may increase the risk of bleeding when taken with NSAIDs or aspirin. However, the primary concern remains the potential for severe allergic reactions in sensitive individuals.

Choice C reason:

Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew, but these side effects are generally mild and manageable. While it is important to inform clients about possible gastrointestinal side effects, the risk of allergic reactions in individuals sensitive to chamomile, ragweed, or yarrow is more critical.

Choice D reason:

Increased anxiety and nervousness have been reported by those taking feverfew, but these side effects are less common and typically not severe. The primary concern should be the potential for allergic reactions, which can be life-threatening.

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Correct Answer is A

Explanation

Choice A reason: Baclofen is a muscle relaxant that can cause side effects such as dizziness and fatigue, especially when starting the medication or adjusting the dose1. These symptoms are usually temporary and may subside as the body adjusts to the medication. Advising the client to avoid hazardous activities, such as driving or operating heavy machinery, helps prevent accidents and ensures safety while the body adapts to the new medication.

Choice B reason: Increasing the intake of fluids and high-protein foods is generally good advice for overall health but is not specifically related to managing the side effects of baclofen. While staying hydrated and maintaining a balanced diet can support overall well-being, it does not directly address the dizziness and fatigue caused by baclofen.

Choice C reason: Stopping the medication immediately is not recommended without consulting a healthcare provider. Abruptly discontinuing baclofen can lead to withdrawal symptoms, including hallucinations and seizures4. It is important to follow a healthcare provider’s guidance when adjusting or stopping any medication.

Choice D reason: Obtaining transportation to the emergency department is not necessary unless the symptoms are severe or accompanied by other concerning signs, such as difficulty breathing or chest pain. Mild to moderate dizziness and fatigue are common side effects of baclofen and can typically be managed with caution and monitoring.

A. Decreased night vision. B. Increased sensitivity to light. C. Increased frequency of lacrimation. D. Diminished color perception.

Correct Answer is A

Explanation

Choice A reason:

Decreased night vision is a significant concern for clients receiving miotics for open-angle glaucoma. Miotics, such as pilocarpine, work by constricting the pupil (miosis), which can reduce the amount of light entering the eye. This effect is particularly problematic in low-light conditions, leading to decreased night vision and increasing the risk of injury due to poor visibility

Choice B reason:

Increased sensitivity to light, also known as photophobia, can occur with the use of miotics, but it is not the primary concern related to the risk of injury. While photophobia can cause discomfort and avoidance of bright environments, it does not directly contribute to the risk of injury as significantly as decreased night vision.

Choice C reason:

Increased frequency of lacrimation (tearing) can be a side effect of miotics, but it is not a major factor in the risk of injury. Excessive tearing can cause discomfort and blurred vision temporarily, but it does not pose a significant risk for injury compared to decreased night vision.

Choice D reason:

Diminished color perception is not a common side effect of miotics. Miotics primarily affect the pupil size and accommodation, rather than color vision. Therefore, this choice is not relevant to the risk of injury associated with the use of miotics.

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A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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