A nurse is teaching a client who is about to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
St. John's wort
Soy protein
Echinacea
Ginkgo biloba
The Correct Answer is A
Choice A reason:
St. John's wort is known to interact adversely with fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and other conditions. St. John's wort also has effects on serotonin, and when taken with fluoxetine, it can increase the risk of serotonin syndrome, a potentially life-threatening condition. Symptoms of serotonin syndrome include confusion, rapid heart rate, dilated pupils, loss of muscle coordination, heavy sweating, and muscle rigidity³. Therefore, it is crucial for patients on fluoxetine to avoid taking St. John's wort to prevent any serious complications.
Choice B reason:
Soy protein is not known to have a significant interaction with fluoxetine. Soy products are commonly consumed foods and are generally considered safe. However, patients should always consult with their healthcare provider before starting any new supplement to ensure it does not interfere with their medication regimen.
Choice C reason:
Echinacea is commonly used to support the immune system, especially for colds and other respiratory infections. There is no well-documented interaction between echinacea and fluoxetine, but as with any supplement, it is advisable to consult with a healthcare provider before combining it with prescription medications.
Choice D reason:
Ginkgo biloba is often used for memory enhancement or to improve circulation. While there are some concerns about ginkgo's potential to affect bleeding due to its blood-thinning properties, there is no direct adverse interaction with fluoxetine. However, patients taking fluoxetine should be cautious with any supplements that can affect bleeding, especially if they are also taking other medications with similar effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Staying in bed on days when feeling exhausted may seem like a reasonable self-care behavior, especially for someone with major depressive disorder. However, excessive bed rest can actually exacerbate depressive symptoms. It's important to balance rest with activities that promote a sense of accomplishment and well-being.
Choice B reason:
Using coping mechanisms that have been helpful in the past is a sign of understanding self-care teachings. It shows the client is applying learned strategies to manage their symptoms and is taking an active role in their own care. This proactive approach is encouraged in managing major depressive disorder.
Choice C reason:
While it may be necessary to avoid certain triggers, consistently avoiding talking about upsetting events can lead to suppression of emotions, which is not a healthy coping strategy. It's important for individuals with depression to express their feelings and work through their emotions.
Choice D reason:
Relying on a partner to plan out one's schedule every day can create dependency and reduce the sense of personal control and autonomy. While support from loved ones is valuable, the individual should be encouraged to take responsibility for their own schedule as part of their self-care routine.
Correct Answer is A
Explanation
Choice A reason:
It is essential to respect the client's autonomy and right to make decisions about their own health care. Informing the client of their legal right to refuse treatment empowers them to make an informed choice and ensures that their rights are upheld. The nurse should also explore the client's concerns and provide support and information to help alleviate any anxiety related to the procedure.
Choice B reason:
While it may be beneficial for the client's health to have the procedure, the nurse should not simply encourage the procedure without addressing the client's concerns. The nurse's role includes providing information and support to help the client make an informed decision, rather than persuading them to agree to the procedure.
Choice C reason:
Obtaining consent from a family member is not appropriate unless the client is legally unable to make their own medical decisions. The client's right to consent or refuse treatment should be respected, and the nurse should work directly with the client to address their concerns and provide necessary information.
Choice D reason:
Requesting another nurse to review the procedure with the client may be helpful if the client is seeking additional information or if there is a communication barrier. However, this should not replace the client's right to refuse treatment. The primary action should be to inform the client of their rights and address their concerns directly.
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