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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
A client lying about suicidal ideation to their provider does not fall under mandatory reporting unless there is evidence or suspicion of harm to self or others. In this case, the client has reported lying, which indicates there is no actual suicidal ideation or intent.
Choice B reason:
While smoking marijuana may be illegal in some jurisdictions, it does not typically require mandatory reporting by a nurse unless it directly affects patient care or involves minors.
Choice C reason:
Theft from an employer is a legal issue but does not require mandatory reporting by a nurse unless it involves stealing medication or other actions that could harm patients.
Choice D reason:
This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety.
Correct Answer is C
Explanation
Choice A reason:
While the client's anger towards the provider is a valid emotional response and needs to be addressed, it is not the immediate priority. Anger is a common stage in the grieving process, and the nurse should acknowledge the client's feelings and provide support, but it does not pose an immediate risk to the client's physical health.
Choice B reason:
Feelings of guilt are also part of the normal grieving process. The nurse should provide a supportive environment for the client to express these feelings and work through them. However, this emotional concern, while important, is not as urgent as the client's physical health needs.
Choice C reason:
The client's inability to eat more than once a day is the most immediate concern because it can lead to nutritional deficiencies and affect overall health. This issue requires prompt intervention to ensure the client's physical well-being. The nurse should assess the reasons for the client's poor appetite and collaborate with the healthcare team to address this issue, potentially involving a dietitian and providing emotional support.
Choice D reason:
Recalling negative experiences during the marriage indicates that the client is processing past events, which is a part of the grieving process. It is important for the nurse to listen and provide support. However, this is not the immediate priority compared to the client's nutritional intake and physical health.
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