Which herbal remedy used by a patient taking warfarin should the ...

[eruditmonkey@yahoo.com]

Which herbal remedy used by a patient taking warfarin should the nurse report to the physician?
 
  a. Angelica (dong quai)
  b. Chamomile
  c. Ginseng
  d. Kava-kava

Question 2

A woman taking St. John's wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks. What instruction should the nurse provide?
 
  a. The herbs are not likely to cause any problems during the surgery.
  b. The St. John's wort must be stopped prior to surgery, but she can continue the ginseng.
  c. The ginseng should be stopped 1 week before surgery.
  d. She should discontinue taking both herbs 2 weeks before surgery.

[mammy1697]

Answer to Question 1

ANS: A
Angelica prolongs prothrombin time and will synergize the effect of the warfarin.

Answer to Question 2

ANS: D
Both St. John's wort and ginseng can cause problems during surgery, and their use should be discontinued 2 weeks before surgery.