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A nurse is completing an admission assessment for a client who has been taking St. John’s wort. The nurse should identify that which of the following medications can interact with St. John’s wort?

A.

Rifampin.

B.

Furosemide.

C.

Citalopram.

D.

Allopurinol.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Rifampin is an antibiotic used to treat tuberculosis and other bacterial infections. It does not have a known interaction with St. John’s wort.

 

Choice B rationale

 

Furosemide is a diuretic used to treat fluid retention and high blood pressure. It does not have a known interaction with St. John’s wort.

 

Choice C rationale

 

Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John’s wort can interact with SSRIs like citalopram, potentially leading to serotonin syndrome, a serious condition caused by excessive levels of serotonin in the brain.

 

Choice D rationale

 

Allopurinol is used to treat gout and kidney stones. It does not have a known interaction with St. John’s wort.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Decreased excretion of urine sodium is not an expected therapeutic effect of bumetanide. Bumetanide is a loop diuretic that works by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle, leading to increased excretion of sodium and water.

Choice B rationale

Increased urinary output is the expected therapeutic effect of bumetanide. As a potent loop diuretic, bumetanide increases the excretion of water and electrolytes, which helps reduce fluid accumulation in conditions like ascites.

Choice C rationale

Decreased serum glucose is not associated with bumetanide. Bumetanide primarily affects fluid and electrolyte balance and does not have a significant impact on blood glucose levels.

Choice D rationale

Increased blood pressure is not an expected effect of bumetanide. On the contrary, bumetanide can help lower blood pressure by reducing fluid volume and decreasing the workload on the heart.

Correct Answer is C

Explanation

Choice A rationale

Monitoring calcium levels is not typically necessary for patients taking lisinopril, as it does not significantly affect calcium levels.

Choice B rationale

Sodium levels are not commonly affected by lisinopril, so routine monitoring is not required.

Choice C rationale

Lisinopril can cause hyperkalemia (high potassium levels), so monitoring potassium levels is crucial to prevent complications.

Choice D rationale

Magnesium levels are not significantly impacted by lisinopril, so routine monitoring is not necessary.

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