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NurseDive Free Nursing Practice Question
A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?
A. "You will need to drink lots of water."
"You will need to drink lots of water." This response does not address the potential drug interaction issue between St. John’s wort and MAOIs.
B. "Did you know that St. John's wort can raise your blood pressure dramatically?"
"Did you know that St. John's wort can raise your blood pressure dramatically?" St. John’s wort can interact with MAOIs and may increase blood pressure, which is a significant concern.
C. "That is a great idea. Alternative therapies can be very helpful."
"That is a great idea. Alternative therapies can be very helpful." This response overlooks the potential for dangerous interactions between St. John’s wort and MAOIs.
D. "You will feel better sooner if you include phenylalanine."
"You will feel better sooner if you include phenylalanine." Phenylalanine is not relevant to the interaction between St. John’s wort and MAOIs.
This question is an excerpt from Nurse Dive's nursing test bank - Lpn fundamentals exam evolve ( Illinois college) proctored exam. Take the full exam now
Full Explanation
A. "You will need to drink lots of water." This response does not address the potential drug interaction issue between St. John’s wort and MAOIs.
B. "Did you know that St. John's wort can raise your blood pressure dramatically?" St. John’s wort can interact with MAOIs and may increase blood pressure, which is a significant concern.
C. "That is a great idea. Alternative therapies can be very helpful." This response overlooks the potential for dangerous interactions between St. John’s wort and MAOIs.
D. "You will feel better sooner if you include phenylalanine." Phenylalanine is not relevant to the interaction between St. John’s wort and MAOIs.
Similar Questions
A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?
A. Posttraumatic stress disorder
. Posttraumatic stress disorder: This behavior is consistent with PTSD, where triggers related to a traumatic event cause intense emotional and physical reactions.
B. Phobia
Phobia: A phobia is an intense fear of a specific object or situation, but this behavior is linked to a traumatic event rather than a specific fear.
C. Obsessive-compulsive disorder
Obsessive-compulsive disorder: OCD involves compulsive behaviors and obsessions, not reactions to trauma.
D. Disordered thinking
Disordered thinking: Disordered thinking involves abnormal thought processes, which does not directly explain the reaction to firecrackers.
Full Explanation
. Posttraumatic stress disorder: This behavior is consistent with PTSD, where triggers related to a traumatic event cause intense emotional and physical reactions.
B. Phobia: A phobia is an intense fear of a specific object or situation, but this behavior is linked to a traumatic event rather than a specific fear.
C. Obsessive-compulsive disorder: OCD involves compulsive behaviors and obsessions, not reactions to trauma.
D. Disordered thinking: Disordered thinking involves abnormal thought processes, which does not directly explain the reaction to firecrackers.
A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
A. 6 to 12 hours
6 to 12 hours: Hallucinations from PCP can last from 6 to 12 hours, depending on the dose and individual response.
B. 1 to 4 hours
1 to 4 hours: PCP-induced hallucinations typically last longer than 1 to 4 hours.
C. 4 to 6 hours
4 to 6 hours: While PCP hallucinations can last around this time, the duration can be longer.
D. 30 to 60 minutes
30 to 60 minutes: This duration is too short for PCP-induced hallucinations.
Full Explanation
A. 6 to 12 hours: Hallucinations from PCP can last from 6 to 12 hours, depending on the dose and individual response.
B. 1 to 4 hours: PCP-induced hallucinations typically last longer than 1 to 4 hours.
C. 4 to 6 hours: While PCP hallucinations can last around this time, the duration can be longer.
D. 30 to 60 minutes: This duration is too short for PCP-induced hallucinations.
The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?
A. Tasteless food
Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.
B. Overuse of salt
Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.
C. Loss of taste buds
Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.
D. Lack of variety
Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.
Full Explanation
A. Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.
B. Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.
C. Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.
D. Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.