Author Question: A client's spouse brings the client to the urgent care facility. The spouse is worried because the ... (Read 32 times)

pragya sharda · **on:** Jul 23, 2018

A client's spouse brings the client to the urgent care facility. The spouse is worried because the client has been very drowsy recently.

After taking the client's history, the nurse determines that the combination of prescribed benzodiazepine and which herbs may be causing the drowsiness?
1. St. John's wort
2. Kava
3. Valerian
4. Ginkgo
5. Soy

Question 2

A client with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs. The nurse suggests the client discuss the efficacy of which herbs with the health care provider?

1. Tumeric
2. St. John's wort
3. Ginger
4. Ginseng
5. Bilberry

cdmart10 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: St. John's wort causes relaxation and may result in excessive sedation if taken with a benzodiazepine.
Rationale 2: Kava causes relaxation and may result in excessive sedation if taken with a benzodiazepine.
Rationale 3: Valerian causes relaxation and may result in excessive sedation if taken with a benzodiazepine.
Rationale 4: Ginkgo does not cause sedation and should not interact with the benzodiazepine.
Rationale 5: Soy does not cause sedation and should not interact with the benzodiazepine.
Global Rationale: St. John's wort, kava, and valerian cause relaxation and may result in excessive sedation if taken with a benzodiazepine. Ginkgo does not cause sedation and should not interact with the benzodiazepine. Soy does not cause sedation and should not interact with the benzodiazepine.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Tumeric is used to reduce inflammation.
Rationale 2: St John's wort is believed to reduce inflammation.
Rationale 3: Ginger is thought to reduce inflammation.
Rationale 4: Ginseng is used to enhance the immune system.
Rationale 5: Bilberry is an antioxidant.
Global Rationale: Tumeric, St. John's wort, and ginger are used to reduce inflammation. Ginseng is used to enhance the immune system. Bilberry is an antioxidant.