A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?
Warfarin
Hydrochlorothiazide
Dicloxacillin
Esomeprazole
The Correct Answer is A
A. Garlic may potentiate the effects of warfarin, an anticoagulant medication. When taken together, garlic can increase the risk of bleeding due to its antiplatelet properties, potentially leading to an increased risk of bruising or bleeding episodes.
B. Hydrochlorothiazide is a diuretic medication used to treat hypertension and edema. There is no known significant interaction between hydrochlorothiazide and garlic.
C. Dicloxacillin is an antibiotic medication from the penicillin class. There is no known significant interaction between dicloxacillin and garlic.
D. Esomeprazole is a proton pump inhibitor (PPI) used to reduce stomach acid production. There is no known significant interaction between esomeprazole and garlic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sitting upright after taking the medication is not a standard recommendation.
B. Sustained-release verapamil tablets should not be crushed, chewed, or broken. Crushing a sustained- release tablet can disrupt the extended-release mechanism, leading to an immediate release of the entire dose, which can increase the risk of adverse effects and toxicity.
C. While monitoring is essential for some medications, anemia is not a specific concern related to sustained-release verapamil.
D. Verapamil has been reported to cause constipation as a side effect. This is one of the most commonly reported side effects of verapamil. It is suggested that this effect may be due to a delay in colonic transit.
Correct Answer is A
Explanation
A. According to the recommended immunization schedule, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, before starting school. This booster dose helps ensure long- term immunity against measles, mumps, and rubella.
B. The MMR vaccine is typically administered in two doses: the first dose at 12 to 15 months of age and the second dose at 4 to 6 years of age. There is no need for additional MMR immunizations over the next 2 years if the child receives the recommended doses.
C. While the child may receive additional immunizations at 3 years of age, such as the hepatitis B vaccine, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, not 3 years.
D. Titer testing is typically not recommended for determining the need for further MMR immunizations in young children. The immunization schedule provides specific recommendations for MMR vaccine doses based on age, rather than individual titers.
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