If a patient with depression takes a selective serotonin reuptake ...

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If a patient with depression takes a selective serotonin reuptake inhibitor (SSRI), the nurse may want to ask them about use of herbal products because of potential interactions if they are using
 
  a. ginseng.
  b. ginkgo biloba.
  c. St. John's wort.
  d. evening primrose oil.

Question 2

Clients with COPD and chronic use of corticosteroids should be monitored for:
 
  1. Calcium level and bone mineral density loss.
   2. Iron level and development of anemia.
   3. Vitamin A and visual loss.
   4. Potassium level and lower extremity pain.

[chevyboi1976]

Answer to Question 1

C
St. John's wort may be used to treat depression and may interact with SSRIs to cause serotonin syndrome (sweating, agitation, and tremor). Ginseng, ginkgo biloba, and evening primrose oil are not known to interact with SSRIs.

Answer to Question 2

1
Rationale: Corticosteroid use can result in decreased absorption and increased urinary losses of calcium which can cause the loss of bone mineral density. Iron, vitamin A, and potassium are not affected by corticosteroid use.

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Thanks for the timely response, appreciate it

[FergA]

TYSM