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?

Echinacea

St. John's wort

Ginkgo biloba

Soy protein

Answer and Explanation

The Correct Answer is B

A.   Echinacea may affect immune function but does not have a direct adverse interaction with fluoxetine.
B.   St. John's wort is known to interact with fluoxetine by increasing the risk of serotonin syndrome, a potentially life-threatening condition. Clients should avoid using St. John's wort with fluoxetine.
C.   Ginkgo biloba can interact with anticoagulants but does not typically cause a dangerous interaction with fluoxetine.
D.   Soy protein does not have a known adverse interaction with fluoxetine.

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Correct Answer is D

Explanation

A. While fear of gaining weight is concerning in a client with anorexia nervosa, it does not necessarily require an immediate update to the care plan unless other risk factors such as malnutrition are present.
B. Clang associations, although abnormal, are not immediately dangerous and do not typically require an urgent change in care. This may indicate active symptoms of schizophrenia, but it does not pose an immediate safety risk.
C. Memory difficulties in Alzheimer’s disease are expected as part of the progression of the condition,
but they do not directly endanger the client's safety.
D. Poor impulse control in a client with bipolar disorder, particularly if the client is manic, poses a potential safety risk due to risky behaviors. An update to the care plan is necessary to address this concern and minimize harm.

A. Allow the client to focus on the delusion for as long they want. B. Reinforce the importance of controlling impulses with the client. C. Contradict the client's delusional beliefs. D. Ask the client to describe their beliefs about the delusion.

Correct Answer is D

Explanation

A. Allowing the client to focus on the delusion may reinforce it and prevent the client from engaging in reality-based thinking.
B. While managing impulses is important, it does not address the delusional thinking directly.
C. Contradicting the client's delusions may increase their anxiety or cause the client to become more resistant.
D. Asking the client to describe their beliefs allows the nurse to assess the delusion and may provide an opportunity to offer reality-based statements without directly confronting the delusion.

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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

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Correct Answer is D

Explanation

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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?