Author Question: A client who has a long-standing history of depression has been on a prescribed antidepressant for ... (Read 68 times)

fasfsadfdsfa · **on:** Jul 23, 2018

A client who has a long-standing history of depression has been on a prescribed antidepressant for several months states that he has also been trying St. John's wort.. Which vital signs should the nurse be attentive to, for possible adverse effects?

1. Temperature
2. Respiratory rate
3. Oxygen saturation
4. Pulse rate

Question 2

The client asks whether herbal medicines are a good idea. The nurse's best response is:

1. Things found in nature are always healthy.
2. If your doctor didn't prescribe it, don't take it.
3. Are there specific ones you're wondering about?
4. Everything is good in moderation.

tanna.moeller · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: St. John's wort would not affect the hypothalmus.
Rationale 2: St. John's wort would not affect the respiratory system.
Rationale 3: St. John's wort would not affect the respiratory system.
Rationale 4: St. John's wort may potentiate antidepressant medications, causing severe agitation, nausea, confusion, and possible cardiac problems.

Answer to Question 2

Correct Answer: 3
Rationale 1: Not all plant life is beneficial.
Rationale 2: There are cautions and contraindications with some herbal preparations and OTC as well as prescription drugs. The use of such treatments may be helpful but should be discussed with a healthcare provider in order to minimize the risk of interactions.
Rationale 3: Not all plant life is beneficial. Nurses must be open to exploring and discussing their clients' uses of and questions regarding herbal medicine. There are cautions and contraindications with some herbal preparations and OTC as well as prescription drugs. The most important role the nurse plays in regard to herbal medicine is to find out what the client is taking, at what dosage, and have a full list of the client's prescription medications as well as anything taken that is OTC.
Rationale 4: Not all plant life is beneficial. This option is not a sufficient answer to the client's question.