A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?

Echinacea

Flaxseed

Ginger

Glucosamine

Answer and Explanation

The Correct Answer is A

A.   Echinacea may stimulate the immune system, and in individuals with autoimmune disorders like SLE, this immune stimulation can exacerbate the condition.
B.   Flaxseed is generally considered safe for individuals with SLE.
C. Ginger is generally considered safe for individuals with SLE.
D.   Glucosamine is generally considered safe for individuals with SLE.

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Correct Answer is B

Explanation

A. Headache relief may not be a direct indication of the effectiveness of diphenhydramine for an allergic reaction.
B. Improvement in symptoms related to the allergic reaction, such as hoarseness, suggests the effectiveness of diphenhydramine.
C. Changes in appetite are not typically related to the antihistamine effects of diphenhydramine.
D. Alertness is not a specific indicator of the antihistamine effects of diphenhydramine.

A. "Drink up to one liter of fluid per day while taking this medication." B. "Avoid driving until adverse effects of this medication are known. C. "Make sure to take this medication with orange juice." D. "You can take the medication with magnesium hydroxide if needed.

Correct Answer is B

Explanation

A. While staying hydrated is important, there is no specific requirement for a liter of fluid with fexofenadine.
B. Fexofenadine can cause drowsiness in some individuals, so caution with activities requiring mental alertness, such as driving, is advised.
C. Fexofenadine should be taken with water, not juice, as juice may affect its absorption.
D. Magnesium-containing antacids may decrease the absorption of fexofenadine and should be avoided.

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A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?

Nursing Test Bank

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