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. Allowing the client to create their own meal schedule may exacerbate disordered eating patterns and is not recommended in the treatment of bulimia nervosa.
B. Allowing the client's family to bring food may enable or reinforce disordered eating behaviors and is not recommended in the treatment of bulimia nervosa.
C. Monitoring the client's bathroom trips is important to prevent purging behaviors, such as self- induced vomiting, which are characteristic of bulimia nervosa.

D. Encouraging the client to exercise frequently may exacerbate unhealthy behaviors and is not recommended as a primary intervention for bulimia nervosa.

A. Hypothermia B. Lethargy C. Bradycardia D. Hypertension

Correct Answer is D

Explanation

A. Cocaine use typically causes hyperthermia (elevated body temperature) rather than hypothermia.
B. Cocaine use is more likely to result in increased alertness, agitation, and hyperactivity rather than lethargy.
C. Cocaine use is associated with tachycardia rather than bradycardia.

D. Cocaine is a stimulant drug that increases sympathetic nervous system activity, leading to elevated blood pressure as one of the primary clinical manifestations.

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Body system	Findings
Neurological	Impaired cognition

	Insomnia Seizures
Cardiovascular	Increased blood pressure Increased heart rate Diaphoresis
Gastrointestinal	Lack of appetite Vomiting
Musculoskeletal	Malaise Tremulousness

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 bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

A nurse in an emergency department is assessing a client who reports recently using cocaine.Which of the following clinical manifestations should the nurse expect?

Correct Answer is D

Explanation

A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?

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A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?

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?