When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:

never take with prescription medications

use only one herbal preparation at a time

take less than the recommended dose initially

check with a reputable pharmacist

Answer and Explanation

The Correct Answer is B

A. Never take with prescription medications:

This statement is not accurate. Many herbal products can interact with prescription medications, potentially leading to adverse effects or reduced efficacy. However, avoiding taking herbal products with prescription medications altogether may not be practical or necessary in all cases. Instead, it's essential to assess for potential interactions and consult with healthcare professionals.

B. Use only one herbal preparation at a time:

This is the correct approach. Using only one herbal preparation at a time allows for better identification of any allergic reactions or adverse effects. If multiple herbal products are taken simultaneously, it can be challenging to determine which product is causing a particular reaction. Starting with one product also simplifies monitoring for efficacy and safety.

C. Take less than the recommended dose initially:

While starting with a lower dose initially may be a prudent approach for some individuals, it is not necessarily the best way to identify allergic or adverse reactions. Taking less than the recommended dose may not provide a full assessment of the product's effects and may not adequately identify potential adverse reactions.

D. Check with a reputable pharmacist:

Consulting with a reputable pharmacist is essential for obtaining information about herbal products, including potential interactions, side effects, and recommended dosages. While a pharmacist can provide valuable guidance, they may not be present during the initial use of the herbal product to monitor for adverse reactions directly.

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Correct Answer is D

Explanation

A.Goldenseal:

Goldenseal is a plant commonly used in herbal medicine, but it is not a drug that specifically inhibits bacterial beta-lactamase. While goldenseal may have antimicrobial properties, it is not typically used as a beta-lactamase inhibitor in the treatment of bacterial infections.

B. Ceftriaxone (Rocephin):

Ceftriaxone is a third-generation cephalosporin antibiotic. While it is an effective antibiotic for treating a wide range of bacterial infections, it does not have beta-lactamase inhibitor properties. Instead, ceftriaxone is susceptible to degradation by beta-lactamase enzymes produced by certain bacteria.

C. Penicillin:

Penicillin is one of the earliest discovered and most widely used beta-lactam antibiotics. However, many bacteria have developed resistance to penicillin by producing beta-lactamase enzymes. Penicillin itself does not inhibit beta-lactamase; instead, it is often combined with beta-lactamase inhibitors to enhance its effectiveness against beta-lactamase-producing bacteria.

D. Zosyn (piperacillin/tazobactam):

Zosyn is a combination antibiotic containing piperacillin, a broad-spectrum penicillin antibiotic, and tazobactam, a beta-lactamase inhibitor. Tazobactam inhibits the action of beta-lactamase enzymes produced by bacteria, allowing piperacillin to exert its antibacterial effects without being degraded by beta-lactamase. Therefore, Zosyn is the correct answer as it contains a drug that inhibits bacterial beta-lactamase.

A. “It’s fine for me to become pregnant while taking this medication.” B. “I will need to postpone my vacation at the beach until I finish this medication." C. “I am so glad to be leaving today because I have an appointment at the tanning salon." D. "I will stop taking this medication as soon as I feel better.”

Correct Answer is B

Explanation

A. “It’s fine for me to become pregnant while taking this medication.”

This statement is incorrect. Tetracycline is known to have teratogenic effects, meaning it can harm the developing fetus if taken during pregnancy. Women of childbearing age should use effective contraception while taking tetracycline and avoid becoming pregnant during treatment.

B. “I will need to postpone my vacation at the beach until I finish this medication."

This statement demonstrates an understanding of the discharge instructions. Tetracycline can increase the risk of sunburn and photosensitivity reactions. Therefore, it's advisable for the client to avoid prolonged sun exposure, particularly during peak sunlight hours, and to use sun protection measures such as wearing protective clothing, using sunscreen, and avoiding tanning beds or sunlamps. Postponing a vacation at the beach until after finishing the medication is a prudent precaution to minimize the risk of sun-related side effects.

C. “I am so glad to be leaving today because I have an appointment at the tanning salon."

This statement is incorrect. Tetracycline can increase the risk of sunburn and photosensitivity reactions. Visiting a tanning salon while taking tetracycline can further increase the risk of skin damage and should be avoided.

D. "I will stop taking this medication as soon as I feel better.”

This statement is incorrect. It's important for the client to complete the full course of tetracycline as prescribed by their healthcare provider, even if they start to feel better before finishing the medication. Stopping the medication prematurely can lead to incomplete treatment and potential recurrence of the infection.

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When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following drugs inhibit bacterial beta-lactamase?

Correct Answer is D

Explanation

The nurse is caring for a client who is being discharged with a prescription for tetracycline. Which of the following statements, if made by the client. demonstrates an understanding of the discharge instructions?

Correct Answer is B

Explanation

The nurse understands that CAM therapies have common characteristics, such as which of the following? (Select All that Apply)

The nurse responds to the client's questions about CAM therapies and explains that some have been popular for centuries in treating conditions of the body and mind Including which of the following? (Select All that Apply)

A nurse is reinforcing teaching with a client who has frequent urinary tract infections (UTIs). The nurse should identify that the client can use which of the following herbal supplements to help prevent UTIs?

Before starting antimicrobial therapy, the nurse assesses a patient for possible drug allergy. Which of the following complaints should alert the nurse to a drug allergy?

Which adverse effect unique to vancomycin is caused by histamine release?

A client has been diagnosed with tuberculosis. How long does the nurse anticipate this client will require treatment?

Mr. Thomas, who is receiving oral penicillin, reports that he has a sore mouth. On inspection, the nurse notes bright red oral mucous membranes with some white patches. The primary care provider is notified immediately because these symptoms may be caused by:

When asked if there are any regulatory controls on herbal or dietary supplements, the nurse responds to the client by informing him that herbal and dietary supplements are regulated by the: