A nurse is completing an admission assessment for a client who has been taking St. John’s wort. The nurse should identify that which of the following medications can interact with St. John’s wort?
Rifampin.
Furosemide.
Citalopram.
Allopurinol.
The Correct Answer is C
Choice A rationale
Rifampin is an antibiotic used to treat tuberculosis and other bacterial infections. It does not have a known interaction with St. John’s wort.
Choice B rationale
Furosemide is a diuretic used to treat fluid retention and high blood pressure. It does not have a known interaction with St. John’s wort.
Choice C rationale
Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John’s wort can interact with SSRIs like citalopram, potentially leading to serotonin syndrome, a serious condition caused by excessive levels of serotonin in the brain.
Choice D rationale
Allopurinol is used to treat gout and kidney stones. It does not have a known interaction with St. John’s wort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1 is to determine the volume of ketorolac to administer. Given: Dose required: 30 mg Concentration: 15 mg/mL Step 1: Calculate the volume to administer: 30 mg ÷ 15 mg/mL = 2 mL The nurse should administer 2 mL of ketorolac.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
Here are the indications for each teaching statement:
- “It is expected for your stools to be black while taking this medication.”
- Indicated: This is a common side effect of iron supplements like ferrous sulfate.
- “Take this medication with an antacid if you experience heartburn from the medication.”
- Contraindicated: Antacids can interfere with the absorption of iron. It’s better to take the iron supplement with vitamin C or a source of vitamin C to enhance absorption.
- “Drinking orange juice with this medication decreases the absorption of the medication.”
- Contraindicated: This statement is incorrect. Vitamin C, found in orange juice, actually enhances the absorption of iron.
- “You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”
- Indicated: Taking iron supplements with food can help reduce gastrointestinal discomfort, although it may slightly reduce absorption.
Teaching Statement |
Indicated |
Contraindicated |
It is expected for your stools to be black while taking this medication. |
✓ |
|
Take this medication with an antacid if you experience heartburn from the medication. |
✓ |
|
Drinking orange juice with this medication decreases the absorption of the medication. |
✓ |
|
You can take this medication with meals if you experience discomfort when taking it on an empty stomach. |
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