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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 ["C","E"]

Explanation

Choice A rationale

Glucose levels are not typically monitored for patients receiving gentamicin.

Choice B rationale

Prothrombin time is not typically monitored for patients receiving gentamicin.

Choice C rationale

Serum creatinine should be monitored because gentamicin can cause nephrotoxicity, and elevated serum creatinine levels can indicate kidney damage.

Choice D rationale

Cardiac enzymes are not typically monitored for patients receiving gentamicin.

Choice E rationale

WBC count should be monitored because gentamicin can cause leukopenia or other changes in white blood cell counts.

Correct Answer is C

Explanation

Choice A rationale

Expecting to have drowsiness while taking this medication is a common side effect of many seizure medications. However, it is not an indication of understanding the teaching about seizure medication management.

Choice B rationale

Taking an extra dose of the medication if a dose is missed is incorrect. Patients should not take an extra dose if they miss one. They should follow their healthcare provider’s instructions on what to do if a dose is missed.

Choice C rationale

Having blood checked to monitor the medication level indicates an understanding of the teaching. Monitoring blood levels of seizure medications is important to ensure therapeutic levels and avoid toxicity.

Choice D rationale

Taking the medication with an antacid to prevent indigestion is incorrect. Antacids can interfere with the absorption of some seizure medications.

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