An older adult male patient with long-term heart failure has presented for an office visit. The nurse obtains information that he has recently begun taking St. John's wort. What results with the use of this herbal supplement?

a. Digoxin toxicity
b. Altered potassium electrolyte balance
c. Reduced therapeutic benefits of digoxin
d. Enhanced digoxin effectiveness without producing toxicity


ANS: C
St. John's wort is a drug that may reduce therapeutic benefits of digoxin. St. John's wort has the opposite effect on digoxin and does not affect electrolytes.

Nursing

You might also like to view...

You are working on a burns unit and one of your acutely ill patients is exhibiting signs and symptoms of third spacing. Based on this change in status, you should expect the patient to exhibit signs and symptoms of what imbalance?

A) Metabolic alkalosis B) Hypermagnesemia C) Hypercalcemia D) Hypovolemia

Nursing

A client diagnosed with bipolar disorder is prescribed lithium carbonate. Which of the following should the nurse confirm to ensure that lithium carbonate is not contraindicated in the client?

A) Client is not pregnant or lactating. B) Client is not perimenopausal. C) Client does not have high blood pressure. D) Client is not experiencing menopause.

Nursing

A faith community nurse is financially supported by a health care institution. Which model of faith community nursing is being used?

a. Paid congregational b. Paid institutional c. Unpaid congregational d. Unpaid institutional

Nursing

A client presents with an inability to make decisions and function independently. The nurse knows these symptoms are indicative of which of the following disorders?

A) Schizoid personality disorder B) Dependent personality disorder C) Schizotypal personality disorder D) Paranoid personality disorder

Nursing