A female client with mild depression reports to the nurse about recently starting St. John's wort. Which information provided by the client requires further instruction?

Insomnia may occur while taking the medication.

Sensitivity to the sun can develop.

Another form of contraception is not needed.

Hard candy can be used for a dry mouth.

Answer and Explanation

The Correct Answer is C

A. Insomnia may occur while taking the medication: St. John’s wort can cause side effects such as insomnia and restlessness, so the client’s report aligns with known reactions and requires no correction.

B. Sensitivity to the sun can develop: Photosensitivity is a documented adverse effect of St. John’s wort, increasing the risk of sunburn; client awareness of this is appropriate and beneficial.

C. Another form of contraception is not needed: St. John’s wort can reduce the effectiveness of hormonal contraceptives by inducing liver enzymes that metabolize these drugs faster, increasing the risk of unintended pregnancy. This requires correction and further instruction.

D. Hard candy can be used for a dry mouth: Using hard candy to manage dry mouth is an acceptable supportive measure and does not conflict with medication use or safety.

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Correct Answer is C

Explanation

A. Drink a liter of water daily: While maintaining hydration is generally important, there is no specific requirement to drink exactly one liter of water daily related to metronidazole therapy. Encouraging adequate fluid intake is good, but it is not unique to this medication.

B. Keep medication refrigerated: Metronidazole tablets do not require refrigeration and should be stored at room temperature, away from moisture and heat. Advising refrigeration could lead to improper storage and potential medication degradation.

C. Avoid the use of alcohol: Metronidazole can cause a severe disulfiram-like reaction when combined with alcohol, leading to symptoms such as nausea, vomiting, flushing, and headache. Clients must avoid alcohol during treatment and for at least 48 hours afterward.

D. Take one hour after eating: Metronidazole absorption is not significantly affected by food, and it can be taken with or without meals. This instruction is unnecessary and could complicate adherence.

A. Orthostatic hypotension B. Sedation C. Seizures D. itching E. Nausea F. Urinary retention G. Euphoria

Correct Answer is ["A","B","E","F"]

Explanation

A. Orthostatic hypotension: Morphine can cause vasodilation and reduce blood pressure, especially when the client moves from lying to standing positions. This drop in blood pressure increases the risk of dizziness and falls, particularly in postoperative patients who may already be weakened.

B. Sedation: Morphine’s central nervous system depressant effects can cause sedation and impaired alertness. Reduced cognitive and motor function from sedation significantly raises the client’s risk of falls by affecting balance and reaction time.

C. Seizures: Seizures are not a common side effect of morphine. While morphine affects the central nervous system, it typically does not provoke seizure activity in most clients, so it is less relevant as a direct fall risk factor.

D. Itching: Morphine commonly causes itching due to histamine release but this side effect does not directly increase fall risk. Itching may cause discomfort but is unlikely to impair balance or cognition.

E. Nausea: Morphine-induced nausea can cause dizziness, weakness, and dehydration, which contribute indirectly to fall risk. Nausea may also reduce food and fluid intake, worsening the client’s overall stability.

F. Urinary retention: Urinary retention can lead to urgency and frequent bathroom trips, increasing the likelihood of falls, especially if the client rushes or moves unassisted. Postoperative patients with retention are at higher risk of falls during toileting.

G. Euphoria: Euphoria is a central nervous system effect of morphine but does not typically impair balance or motor control to a degree that increases fall risk. It may affect mood but is not directly linked to falls.

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A female client with mild depression reports to the nurse about recently starting St. John's wort. Which information provided by the client requires further instruction?

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Naxlex Comprehensive Predictor Exams

A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?

Correct Answer is C

Explanation

Exhibits The charge nurse places a fall precautions sign on the client's door. Which side effects of morphine could contribute to this client's fall risk? Select all that apply

Correct Answer is ["A","B","E","F"]

Explanation

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Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?

The nurse is teaching a client with type 1 diabetes mellitus about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is self administered at 0800, when is the client most likely to experience hypoglycemia?

A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client?

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

A female client with mild depression reports to the nurse about recently starting St. John's wort. Which information provided by the client requires further instruction?

Exhibits Which should the nurse do immediately? Select all that apply.