A patient taking fluoxetine informs a nurse, I started taking St. ...

[fnuegbu]

A patient taking fluoxetine informs a nurse, I started taking St. John's wort to help my depression. The nurse should:
 
  a. add the herbal preparation to the medications listed in the patient's chart.
  b. assess the patient for signs of hypotensive crisis.
  c. explain the risk of serotonin syndrome and discourage the use of the herbal preparation.
  d. recommend that the patient stop both medications.

Question 2

The nurse is planning to implement an order to desensitize a patient to an antibiotic to which the patient previously had experienced a severe reaction.
 
  Which of the following implementations would be most appropriate prior to administration of the drug? a. Stay with the patient for the duration of the medication administration.
  b. Have a heart monitor accessible in the patient's room.
  c. Clarify the order and recommend a different antibiotic.
  d. Have epinephrine readily accessible in the patient's room.

[kilada]

Answer to Question 1

c

Answer to Question 2

D
For a desensitization procedure that involves risk, the nurse should have epinephrine at the bed-side, as well as equipment for respiratory support.
Staying with the patient for the duration of medication administration is not feasible and is not a prior action.
A heart monitor is not indicated, nor is clarification of the order, because the patient obviously is being desensitized.