A client tells the nurse she is supplementing her selective ...

[shofmannx20]

A client tells the nurse she is supplementing her selective serotonin reuptake inhibitor with St.
  John's wort. The priority action the nurse should take is to
 
  a. inquire as to what degree the depression has lifted.
  b. advise the client of the danger of selective serotonin syndrome.
  c. suggest that adding valerian to the treatment regimen may produce even better
  results.
  d. remind the client of the possibility of insomnia if the drugs are taken late in the
  day.

Question 2

A client with whom the nurse is discussing advance directives asks What advantage does a durable
  power of attorney for health care have over a living will? The nurse should reply
 
  a. A durable power of attorney for health care gives your agent the ability to speak
  for you during any illness if you become incapacitated..
  b. A durable power of attorney for health care can be used only if you have a
  terminal illness and become incapacitated..
  c. A durable power of attorney for health care cannot go into effect for 30 days so
  you have time to rethink your decision..
  d. A durable power of attorney can be given only to a relative who would have
  your best interests at heart..

[duy1981999]

Answer to Question 1

B
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 selective serotonin syndrome.

Answer to Question 2

A
A durable power of attorney for health care is an instrument that appoints a person other than a
physician to act as an individual's agent in the event that he or she is unable to make medical
decisions. No waiting period is required for it to become effective, and the individual does not have
to be terminally ill or incompetent for the person appointed to act on the individual's behalf.