Author Question: The nurse finds on assessing a client with depression that she is taking St. John's wort ... (Read 47 times)

robinn137 · **on:** Jul 19, 2018

The nurse finds on assessing a client with depression that she is taking St. John's wort (hypericum).

The nurse knows that while this biological extract has some advantages over commonly prescribed drugs for depression, it also has disadvantages such as: a. nonstandard preparation, so the amount of hypericum may vary among manufacturers
b. much more expensive cost of preparation than other commonly prescribed drugs
c. blood testing required every week for dyscrasias
d. purchase amounts limited to a 2-week supply

Question 2

Medications a client must avoid when taking monoamine oxidase inhibitors, such as isocarboxazid (Marplan), include which of the following?

a. acetaminophen
b. ibuprofen
c. guaifenesin
d. meperidine

amit · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
St. John's wort (hypericum), which is an over-the-counter medication for depression, may have a nonstandard preparation and the amount of hypericum may vary among manufacturers. Other disadvantages of St. John's wort include that it may be less effective than prescription drug therapy or cognitive therapy. In addition, drug interactions can occur and may be significant.

Answer to Question 2

D
Clients taking monoamine oxidase inhibitors should avoid meperidine (Demerol). Other medications to avoid include tricyclic antidepressants, Prozac, amphetamines, and amphetamine-like medications including all sympathomimetics.