A client is prescribed morphine sulfate for management of severe pain. The client tells the nurse that he takes several herbal preparations. Which herbal preparation will be of most concern to the nurse?
a. Garlic
b. Ginger
c. St. John's wort
d. Saw palmetto
ANS: C
Opioids such as morphine sulfate may increase sedation when taken with St. John's wort.
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A nurse is preparing a teaching plan and is determining the best time for teaching. Which of the following would be an inappropriate time for client teaching? Select all that apply
A) When there are visitors B) Immediately prior to discharge C) The day of admission D) While the client is sedated E) While the client is in pain
The nurse is teaching the family of clients with Alzheimer's disease about the disease process. The nurse is using a picture of the brain and highlighting which structures?
A) Neurotransmitters and cell receptors B) Neurofibrillary tangles and amyloid plaques C) Brain tissue and receptor sites D) Blood vessels with valves
B vitamins are known to be coenzymes and assist with various bodily reactions and functions. Not all coenzymes, however, are considered B vitamins. What substance is a coenzyme and is considered a non–B vitamin?
A) Choline B) Isoniazid C) Beta-carotene D) Niacin
A patient is taking modafinil (Provigil) for narcolepsy. Which precaution is most important for the nurse to teach the patient?
a. "Take this drug 1 hour before or 2 hours after a meal." b. "Report episodes of sleepwalking to your prescriber." c. "Check your pulse for rate and regularity twice daily." d. "Avoid eating grapefruit or drinking grapefruit juice."