The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

It increases the risk of bleeding.

It enhances the effects of all drugs.

It counteracts the effects of central nervous system (CNS) depressants.

It accelerates the metabolism of some drugs.

Answer and Explanation

The Correct Answer is A

a) St. John's Wort is known to increase the risk of bleeding, especially when used with anticoagulant medications. This effect is particularly concerning and may require adjustments in the treatment plan.

b) While St. John's Wort can interact with various drugs, increasing the risk of bleeding is a more immediate concern.

c) St. John's Wort does not counteract the effects of CNS depressants; it may actually enhance the effects of these drugs.

d) St. John's Wort is known to induce the metabolism of some drugs, potentially reducing their effectiveness, but this is not as immediately concerning as the risk of bleeding.

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Correct Answer is C

Explanation

A) Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.

B) While nausea can be a side effect, it is not the primary concern with hydroxyzine.

C) Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.

D) Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.

A. Ibuprofen B. Lithium C. Methotrexate D. Nicotine

Correct Answer is A

Explanation

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

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The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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