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

Answer and Explanation

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.

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Correct Answer is B

Explanation

B. Disulfiram works by inhibiting the enzyme aldehyde dehydrogenase, which is involved in the metabolism of alcohol. When a person drinks alcohol while taking disulfiram, they experience unpleasant symptoms such as flushing, nausea, vomiting, headache, and palpitations. These aversive reactions are intended to deter the individual from consuming alcohol, thereby supporting abstinence.
A. Carbamazepine is an anticonvulsant medication used to treat seizures and mood disorders, but it is not typically used for aversion therapy in alcohol use disorder.
C. Atenolol is a beta-blocker medication used to treat hypertension and certain heart conditions. It is not indicated for aversion therapy in alcohol use disorder.
D. Lorazepam is a benzodiazepine medication used to treat anxiety and certain seizure disorders. It is not used for aversion therapy in alcohol use disorder.

A. Lisinopril B. Hydrochlorothiazide D C. Aspirin D. Atenolol

Correct Answer is D

Explanation

D. Atenolol is a beta-blocker used to treat hypertension and lower heart rate. Given the client's low heart rate of 54 beats per minute (bradycardia), there is a potential concern about further lowering the heart rate with atenolol. Therefore, the nurse should consider withholding atenolol and consulting with the healthcare provider regarding the low heart rate before administering the medication.
A. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension.
B. Hydrochlorothiazide is a diuretic commonly used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension. Therefore, there is no immediate need to withhold hydrochlorothiazide based on the current blood pressure reading.
C. Aspirin is commonly used for cardiovascular protection in clients with hypertension. It is not typically withheld based on blood pressure readings alone unless there are other contraindications or concerns.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

Correct Answer is B

Explanation

A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

Correct Answer is D

Explanation

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