A 22-year-old patient calls the clinic and tells the nurse that she has been depressed and is thinking about taking St. John's wort but wants to know if it is safe first
The nurse begins by questioning what other medications the patient takes and would be concerned about a drug-alternative drug interaction if the patient is also taking what type of medication? A) Antihistamines
B) Analgesics
C) Antibiotics
D) Oral contraceptives
D
Feedback:
St. John's wort can interact with oral contraceptives that alter drug metabolism, which can decrease the effectiveness of the contraceptive. Analgesics, antibiotics, and antihistamines can be taken in combination with St. John's wort without known adverse effects.
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The nurse is caring for a patient who is hospitalized for pneumonia. Which nursing diagnosis has the highest priority?
a. Activity intolerance r/t generalized weakness and hypoxemia b. Imbalanced nutrition r/t poor appetite and increased metabolic needs c. Ineffective airway clearance r/t thick secretions in trachea and bronchi d. Knowledge deficit r/t use of nebulizer and inhaled bronchodilators
A mother tells the nurse at an annual well child checkup that her 6-year-old son occasionally "wets himself". Which response by the nurse is appropriate?
1) Explain that occasional wetting is normal in children of this age 2) Tell the mother to restrict her child's activities to avoid wetting 3) Suggest "time-out" to reinforce the importance of staying dry 4) Inform the mother that medication is commonly used to control wetting
A client with renal insufficiency is being treated with allopurinol and asks the nurse why the health care provider decided on allopurinol instead of probenecid, which his friend is on. The nurse's best reply is:
a. "Allopurinol is a better drug to use with your azathioprine." b. "Allopurinol is less likely to make your kidney problems worse." c. "You should ask the doctor about why one drug was chosen over the other." d. "Just trust the doctor that this drug is better for you than probenecid."
A 13-year-old girl has been brought to the outpatient clinic with complaints of pain in her vaginal region after being sick with Influenza A for the last week. The girl states that she can see a raised edge, and it is "oozing."
The nurse should anticipate: 1. Providing a Sitz bath and ice. 2. Providing education about proper hygiene to the area. 3. Placing a Foley catheter for urination in order to keep the area clean. 4. Educating the girl about not wearing cotton underwear.