A nurse is reinforcing teaching with a client who has a
new prescription for sertraline. The client asks the
nurse if he should containue to take St. John's wort for
depression. Which of the following instructions should
the nurse give the client?
A. take the medication and herbal supplement
together.
B. stop taking the herbal supplement while taking the
medication.
C. take the herbal supplement and the medication at
least 2 hours apart.
D. take an antacid with both the herbal supplement
and the medication. - ...ANSWER...B. stop taking the
herbal supplement while taking the medication.
Taking the antidepressant sertraline and St. John's
wort together puts the client at risk for serotonin
syndrome.
A nurse is preparing to administer meperidine 100 mg
IM to a client who has a BMI of 23. Which of the
following needle lengths should the nurse use to
administer the medication?
A. 1/2 inch
B. 1 1/2 inch
C. 2 1/2 inch
D. 3 inch - ...ANSWER...B. 1 1/2 inch
A nurse in a long-term care facility is administering
medications to a group of older clients. Which of the
following factors of pharmacokinetics should the nurse
consider when caring for this age group?
A. the excretion of the medication is reduced
B. the percentage of medication absorbed is increased
C. the liver metabolizes the medication more quickly.
D. the rate at which the liver metabolizes medication
declines with age. - ...ANSWER...A. the excretion of
the medication is reduced
A nurse in a provider's office is assessing a client who
has been taking amoxicillin for 10 days and reports
diarrhea and cramping. The nurse should recognize
that these manifestations occur secondary to which of
the following adverse effects?
A. development of gastric ulcers
B. development of milk intolerance
C. allergic reactions to the medication
D. alterations in the gastrointestinal flora -
...ANSWER...D. alterations in the gastrointestinal flora
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