Depression due to antiviral effects

John Jones is a 55-year-old African American man. He has been Human Immunodeficiency Virus positive for 5 years. He is currently taking Atripla one tablet by mouth daily. He presents to the physician’s office complaining of pain in his mouth and white patches on his tongue and cheeks.(Learning Objectives 1, 2, 5)

1. While triaging Mr. Jones, what information should the nurse obtain?

2. Mr. Jones tells the nurse he has started taking St. John’s wort because he heard it had antiviral effects and he was feeling a bit depressed lately. What should the nurse tell Mr. Jones about the St. John’s wort?

3. The physician writes a prescription for Mr. Jones to receive fluconazole (Diflucan) 200 mg on day 1 and 100 mg on days 2 through 14. What should the nurse tell Mr. Jones? (Cite reference page(s) from the Roach textbook)