Practice Question
A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
Answer Choices:
Correct Answer:
Another form of contraception is not needed.
Rationale:
⭐ St. John’s Wort is known to interact with hormonal contraceptives, including birth control pills, by inducing CYP450 enzymes, which reduces their effectiveness.
⭐ This can lead to unintended pregnancies, making it essential for clients to use a backup form of contraception.
⭐ The nurse should provide additional teaching when the client assumes no other contraceptive method is necessary.
⭐ This is a critical safety issue requiring immediate clarification.
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This question is from RN-HESI Pharmacology Exam which contains 30 questions.
More Questions from This Exam
A client who is taking an oral dose of a tetracycline reports gastrointestinal (GI) upset. Which snack should the nurse instruct the client to take with the tetracycline?
Answer Choices:
A. Cheese and crackers.
B. Toasted wheat bread and jelly.
C. Fruit-flavored yogurt.
D. Cold cereal with skim milk.
To prevent deep vein thromboses following knee replacement surgery, an adult male client is receiving daily subcutaneous enoxaparin. Which laboratory result requires immediate action by the nurse? Reference Range: Hematocrit - 42% to 52% (0.42 to 0.52 volume fraction)], Platelets - 150,000 to 400,000/mm² (150 to 400 × 10^9/L)], Creatinine - 0.5 to 1.1 mg/dL (44 to 97 µmol/L)], Blood Urea Nitrogen (BUN) - 10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
Answer Choices:
A. Platelet count of 100,000/mm³ (100 x 10^9/L).
B. Hematocrit 45% (0.45 volume fraction).
C. Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L).
D. Serum creatinine 1.0 mg/dL (88.4 µmol/L).
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?
Answer Choices:
A. Increased anxiety and nervousness have been reported by those taking feverfew.
B. Feverfew may interact with aspirin or non-steroidal anti- inflammatory drugs.
C. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew.
D. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew.
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Answer Choices:
A. Depression screening.
B. Body mass index.
C. Daily calorie count.
D. Serum protein levels.
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid?
Answer Choices:
A. Beef tips with gravy.
B. Deep-fried shrimp.
C. Pepperoni pizza.
D. Pan-seared catfish.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pharmacology
- Answer Choices: 4