Author Question: A patient with a diagnosis of depression states to the nurse that she has started taking St. John's ... (Read 30 times)

cookcarl · **on:** Jul 23, 2018

A patient with a diagnosis of depression states to the nurse that she has started taking St. John's wort to help her feel better and tolerate the demands of parenting. The patient has been taking an SSRI for the past several months.

The nurse should teach that patient that this combination may result in A) worsened symptoms of depression.
B) blood dyscrasias.
C) dangerous drug interactions.
D) hemostatic instability.

Question 2

A patient is scheduled for a vaginal hysterectomy. Which of the following medications is the drug of choice for surgical prophylaxis?

A) Cefadroxil (Duricef)
B) Cefazolin sodium (Ancef)
C) Cephalexin (Keflex)
D) Cephradine (Velosef)

mceravolo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Combining St. John's wort with antidepressants can cause serious adverse effects. These effects do not typically include worsened depression, alterations in coagulation, or dyscrasias.

Answer to Question 2

B
Feedback:
Cefazolin sodium (Ancef) is the drug of choice for surgical prophylaxis in most surgical procedures. Cefadroxil, cephalexin, and cephradine are all first-generation cephalosporins, but they are not utilized as the drug of choice for surgical prophylaxis.