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A client with depression has been taking citalopram, an SSRI, for several months and has presented for a follow-up assessment. The client tells the nurse, "I've been reading a lot online about the benefits of St. John's wort for depression, so I've started taking it once per day." In addition to referring the client to the provider, what is the nurse's best response?

A. "There can be an unsafe reaction between your antidepressant and St. John's wort, which is why taking them both is discouraged."

"There can be an unsafe reaction between your antidepressant and St. John's wort, which is why taking them both is discouraged." is correct; St. John's wort can reduce the effectiveness of SSRIs and may increase the risk of serotonin syndrome, making it vital for the nurse to address this safety concern.

B. "Herbal remedies often contain unknown doses of the desired ingredient, which can be dangerous."

"Herbal remedies often contain unknown doses of the desired ingredient, which can be dangerous." is a valid point, but it does not specifically address the interaction with the client’s current medication.

C. "It's very important that you not take the St. John's wort at the same time of day as your antidepressant."

"It's very important that you not take the St. John's wort at the same time of day as your antidepressant." is misleading; the concern is not just about timing but about taking both together at all.

D. "It's very important that you comply with your prescribed treatment."

"It's very important that you comply with your prescribed treatment." while true, this response does not directly address the specific risks associated with combining St. John's wort and citalopram.

This question is an excerpt from Nurse Dive's nursing test bank - Med Surg Exam Antelope Valley College Proctored Exam. Take the full exam now


Full Explanation

A. "There can be an unsafe reaction between your antidepressant and St. John's wort, which is why taking them both is discouraged." is correct; St. John's wort can reduce the effectiveness of SSRIs and may increase the risk of serotonin syndrome, making it vital for the nurse to address this safety concern.

B. "Herbal remedies often contain unknown doses of the desired ingredient, which can be dangerous." is a valid point, but it does not specifically address the interaction with the client’s current medication.

C. "It's very important that you not take the St. John's wort at the same time of day as your antidepressant." is misleading; the concern is not just about timing but about taking both together at all.

D. "It's very important that you comply with your prescribed treatment." while true, this response does not directly address the specific risks associated with combining St. John's wort and citalopram.


Similar Questions

QUESTION
The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? (Select all that apply.)

A. Sit up comfortably in the bed.

Sitting up comfortably in bed is not ideal for nasal spray administration; the client should be in an upright position, possibly sitting on the edge of a chair.

B. Tilt the head slightly to the side.

Tilting the head slightly to the side is correct; this position helps the medication to be delivered effectively to the nasal passages.

C. Insert the tip of the nose piece into one nostril.

Inserting the tip of the nose piece into one nostril is correct; this ensures that the medication is delivered directly into the nasal cavity.

D. Hold the breath for a few seconds after administering the spray.

Holding the breath for a few seconds after administering the spray is correct; this allows for better absorption of the medication in the nasal mucosa.

E. Blow the nose 1 minute after administering the spray.

Blowing the nose 1 minute after administering the spray is incorrect; the client should avoid blowing their nose for at least a few minutes after administration to allow the medication to be absorbed effectively.

Full Explanation

A. Sitting up comfortably in bed is not ideal for nasal spray administration; the client should be in an upright position, possibly sitting on the edge of a chair.

B. Tilting the head slightly to the side is correct; this position helps the medication to be delivered effectively to the nasal passages.

C. Inserting the tip of the nose piece into one nostril is correct; this ensures that the medication is delivered directly into the nasal cavity.

D. Holding the breath for a few seconds after administering the spray is correct; this allows for better absorption of the medication in the nasal mucosa.

E. Blowing the nose 1 minute after administering the spray is incorrect; the client should avoid blowing their nose for at least a few minutes after administration to allow the medication to be absorbed effectively.

QUESTION
The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

A. improved sleep

Improved sleep is an indication that fluoxetine is effectively alleviating depressive symptoms, as sleep disturbances are common in depression.

B. decreased anxiety

Decreased anxiety suggests that the medication is effective, as fluoxetine can help reduce both depressive and anxiety symptoms.

C. reduced appetite

Reduced appetite is typically not a sign of effectiveness; it may indicate a side effect or worsening of depression rather than improvement.

D. weight loss

Weight loss is also not a clear indicator of effectiveness; it may indicate adverse effects or worsening mental health symptoms rather than improvement in mood or behavior.

E. interest in physical activity

Interest in physical activity indicates improvement in mood and energy levels, which are positive signs of fluoxetine's effectiveness.

Full Explanation

A. Improved sleep is an indication that fluoxetine is effectively alleviating depressive symptoms, as sleep disturbances are common in depression.

B. Decreased anxiety suggests that the medication is effective, as fluoxetine can help reduce both depressive and anxiety symptoms.

C. Reduced appetite is typically not a sign of effectiveness; it may indicate a side effect or worsening of depression rather than improvement.

D. Weight loss is also not a clear indicator of effectiveness; it may indicate adverse effects or worsening mental health symptoms rather than improvement in mood or behavior.

E. Interest in physical activity indicates improvement in mood and energy levels, which are positive signs of fluoxetine's effectiveness.

QUESTION
To ensure that the most appropriate drug is being used to treat a pathogen, which would need to be done first?

A. Using combination therapy

Using combination therapy may be beneficial in some cases but is not the first step in ensuring the most appropriate drug is chosen for a specific pathogen.

B. Obtaining sensitivity testing

Obtaining sensitivity testing is essential to determine the specific antibiotic to which the pathogen is susceptible, ensuring effective treatment.

C. Checking client allergies

Checking client allergies is important to prevent adverse reactions but does not directly address whether the chosen drug is appropriate for the pathogen.

D. Evaluating the bactericidal effects

Evaluating the bactericidal effects is part of assessing the treatment's effectiveness, but it should follow sensitivity testing to determine the correct medication.

Full Explanation

A. Using combination therapy may be beneficial in some cases but is not the first step in ensuring the most appropriate drug is chosen for a specific pathogen.

B. Obtaining sensitivity testing is essential to determine the specific antibiotic to which the pathogen is susceptible, ensuring effective treatment.

C. Checking client allergies is important to prevent adverse reactions but does not directly address whether the chosen drug is appropriate for the pathogen.

D. Evaluating the bactericidal effects is part of assessing the treatment's effectiveness, but it should follow sensitivity testing to determine the correct medication.