When a client who routinely takes the herb St. John's Wort (SJW) shares that his or her "hay fe-ver is really bad right now," the nurse initially:
a. notifies the primary care provider that the client has been self-medicating for hay fever.
b. compares the client's current blood pres-sure to his/her baseline blood pressure.
c. stresses the need to avoid over-the-counter (OTC) medications containing monoam-ines.
d. suggests that the client stop taking the herb until the hay fever has improved.
ANS: B
When taking SJW, people should be warned not to take medications containing monoamines, such as medications for nasal decongestants, hay fever, and asthma, because this combination may cause hypertension. The primary care provider should not be notified until the BP monitor-ing is known. Avoiding specific OTC medications and stopping the herb is information the client should have been given prior.
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