A patient diagnosed with depression tells the nurse, I've been ...

[rosent76]

A patient diagnosed with depression tells the nurse, I've been supplementing my paroxetine (Paxil) with St. John's wort, and it has helped a great deal. What is the nurse's priority action?
 
  a. Assess changes in the patient's level of depression.
  b. Remind the patient to use a secondary form of birth control.
  c. Educate the patient about the risks of serotonin syndrome.
  d. Suggest adding valerian to the treatment regimen to further improve results.

Question 2

A neighbor asks a nurse, Are there any resources that would help me get reliable information about alternative and complementary therapies? Which resource should the nurse recommend?
 
  a. National Center for Complementary and Alternative Medicine
  b. American Psychiatric Association
  c. American Medical Association
  d. Centers for Disease Control and Prevention

[nekcihc358]

Answer to Question 1

C
Research has suggested that St. John's wort inhibits serotonin reuptake by elevating extracellular sodium; thus it may interact with medication, particularly selective serotonin reuptake inhibitors, to produce serotonin syndrome. Discussing the patient's birth control method is a secondary priority.

Answer to Question 2

A
The National Center for Complementary and Alternative Medicine, a part of the National Institutes of Health, has responsibility for providing information to the public regarding the safety and efficacy of alternative therapies and for funding research for these therapies. The other options would be inappropriate to recommend.

[rosent76]

TY

[nekcihc358]

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