A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements Interacts adversely with fluoxetine?

Soy protein

Echinacea

St. John's wort

Ginkgo biloba

Answer and Explanation

The Correct Answer is C

A. Soy protein is not known to interact adversely with fluoxetine.

B. Echinacea is not known to interact adversely with fluoxetine.

C. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure.
D. Ginkgo biloba is not known to interact adversely with fluoxetine.

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Correct Answer is C

Explanation

A. Changing the subject when the client becomes upset may invalidate their feelings and hinder emotional expression and processing.
B. Discouraging the client from forming new relationships may deprive the client of potentially meaningful connections during their remaining time.
C. Allowing the client unlimited time for the grieving process acknowledges the client's emotional response to their diagnosis and respects their individual needs and coping mechanisms.

D. Offering advice about treatment choices may be appropriate in some situations but should be done in collaboration with the client's healthcare team and in consideration of their wishes and values.

A. The client reports frustration with finding an activity to relieve restless energy. B. The client will be unable to return home after discharge. C. The client asks to talk to someone about changes in their spiritual beliefs. D. The client has trouble remembering prescribed food restrictions.

Correct Answer is B

Explanation

A. Frustration with finding an activity to relieve restless energy may be addressed by the nursing or therapy team and does not specifically require involvement from a social worker.
B. Discharge planning, including concerns about the client's ability to return home, is a significant aspect of social work involvement in the client's care.
C. Talking about changes in spiritual beliefs may be addressed by a chaplain or spiritual counselor rather than a social worker.
D. Difficulty remembering prescribed food restrictions may be addressed through education and support from nursing or dietary staff and does not specifically require involvement from a social worker.

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A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements Interacts adversely with fluoxetine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?

Correct Answer is B

Explanation

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