Author Question: A client with a history of depression is taking cyclosporine to prevent organ rejection. However, ... (Read 29 times)

Evvie72 · **on:** Jul 23, 2018

A client with a history of depression is taking cyclosporine to prevent organ rejection. However, recent tests indicate the medication is losing effectiveness. The nurse should ask if the client is taking which herbal supplement?

1. Flaxseed
2. Saw palmetto
3. St. John's wort
4. Black cohosh

Question 2

What is a legal requirement of the Dietary Supplement Health and Education Act (DSHEA) of 1994?

1. The herbal product must contain only one active ingredient.
2. Dietary supplements must state that the product is not intended to diagnose, treat, cure, or prevent any disease.
3. Efficacy must be demonstrated by the manufacturer.
4. The product must contain the ingredients listed in the amounts claimed.

jaygar71 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Flaxseed is used primarily to treat high cholesterol, not depression.
Rationale 2: Saw palmetto is used to decrease prostate size, not to treat depression.
Rationale 3: St. John's wort is commonly used to treat depression. It can decrease cyclosporine levels, resulting in decreased protection for the transplanted organ.
Rationale 4: Black cohosh is used to decrease menopausal symptoms, not to treat depression.
Global Rationale: St. John's wort is commonly used to treat depression. It can decrease cyclosporine levels, resulting in decreased protection for the transplanted organ. Flaxseed is used primarily to treat high cholesterol, not depression. Saw palmetto is used to decrease prostate size, not to treat depression. Black cohosh is used to decrease menopausal symptoms, not to treat depression.

Answer to Question 2

Correct Answer: 2
Rationale 1: Herbal medicines may contain dozens of active chemicals.
Rationale 2: These statements are required on the label of dietary supplements.
Rationale 3: The manufacturer does not have to prove the efficacy of the product.
Rationale 4: The accuracy of the label is not regulated, and the product may or may not contain the listed ingredients in the amounts claimed.
Global Rationale: Required statements due to DSHEA include that the product is not intended to diagnose, treat, cure, or prevent any disease. Herbal medicines may contain dozens of active chemicals. The manufacturer does not have to prove the efficacy of the product. The accuracy of the label is not regulated, and the product may or may not contain the listed ingredients in the amounts claimed.