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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer the medication subcutaneously: Somatropin, a growth hormone, is correctly administered via subcutaneous injection. This route allows for slow absorption and sustained therapeutic effects, making the statement accurate.
B. Rotate injection sites to minimize discomfort: Rotating injection sites helps prevent localized irritation, lipohypertrophy, and tissue damage. This is standard practice for all subcutaneous injections, so the statement reflects correct understanding.
C. Discard the medication if the solution is cloudy: Somatropin should be clear and colorless; cloudiness may indicate contamination or degradation. Discarding a cloudy solution is appropriate to ensure safety and effectiveness.
D. Store unused vials at room temperature: Somatropin must be refrigerated to maintain its stability and potency. Storing it at room temperature can cause loss of effectiveness indicating a need for further teaching.
Correct Answer is A
Explanation
A. No peak occurs: Glargine insulin is a long-acting insulin that provides a steady, basal level of insulin without a pronounced peak. Because of its stable release, the risk of hypoglycemia related to peak action is lower compared to other insulins that have distinct peaks.
B. Shortly after midnight: This time frame might correspond to the peak of intermediate-acting insulins like NPH, but it is not typical for glargine, which maintains a consistent effect over 24 hours.
C. Midmorning: Rapid-acting or short-acting insulins given in the morning may peak midmorning, but glargine’s flat action profile does not cause such peaks or corresponding hypoglycemia during this time.
D. Midafternoon: Similar to midmorning, midafternoon hypoglycemia is associated with insulins that have specific peaks, which glargine lacks due to its steady absorption and action profile.
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