A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. The nurse's best response is:
a. "That is a great idea. Alternative therapies can be very helpful."
b. "You will feel better sooner if you include phenylalanine."
c. "Did you know that St. John's wort can raise your blood pressure dramatically?"
d. "You need to speak to your physician about that."
C
St. John's wort can raise blood pressure dramatically in people who are also taking MAOIs.
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A client with peptic ulcer disease asks the nurse about taking slippery elm supplements. What response by the nurse is best?
a. "Slippery elm has no benefit for this problem." b. "Slippery elm is often used for this disorder." c. "There is no evidence that this will work." d. "You should not take any herbal remedies."
In what way could the researchers in the Willowbrook study have designed their research on the hepatitis virus so that it was ethically acceptable?
a. The researchers could have given each participant a chance to assent. b. The researchers could have performed their study on persons who were capable of full assent. c. The researchers could have made the study available at many institutions for the mentally retarded. d. The researchers could have performed descriptive research on persons already infected with hepatitis.
A patient who is prescribed gabapentin
(Neurontin) for seizures is also taking aluminum hydroxide (Amphojel) for indigestion. What should you caution the patient about taking these two drugs? a. "Take the gabapentin 1 hour after the aluminum hydroxide." b. "Schedule at least 2 hours between taking the gabapentin and the aluminum hydroxide." c. "Take these two drugs together for the best action of both drugs to occur." d. "You may need to take a different antacid to avoid affecting the action of gabapentin."
The nurse is assessing a newly admitted client for the presence of impaired peripheral arterial circulation. Which finding would be significant to this condition?
1. Ruddy skin color over legs 2. Bounding pedal pulses 3. Hot spots on the feet and legs 4. Decreased hair on the legs