The client is being treated with digoxin. She tells the nurse that she frequently self-medicates her depression with St. John's wort. What is the nurse's highest priority instruction to the client?
a. Take the St. John's wort; it will have no effect on the digoxin.
b. Do not take St. John's wort; it will cause a toxic reaction to the digoxin.
c. Do not take St. John's wort; it decreases the effectiveness of the digoxin.
d. Take the St. John's wort; it will enhance the effect of the digoxin.
ANS: C
St. John's wort decreases the absorption of digoxin and thus decreases serum digoxin level.
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a. Give an intermittent positive-pressure breathing treatment. b. Administer a rescue inhaler. c. Call for a chest x-ray. d. Assess an arterial blood gas.
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Select all that apply. 1. tracheoesophageal fistula 2. wound infection 3. pressure necrosis of nares 4. sinusitis 5. obstruction of the tube
The nurse is caring for a Native American patient who has traditional beliefs about health and illness. Which action by nurse is most appropriate?
a. Avoid asking questions unless the patient initiates the conversation. b. Ask the patient whether it is important that cultural healers are contacted. c. Explain the usual hospital routines for meal times, care, and family visits. d. Obtain further information about the patient's cultural beliefs from a family member.
A study that compared patients' anxiety levels before and after surgery would be called a between-subjects design
A) True B) False