An older patient is prescribed a thiazide diuretic as treatment for mild right heart failure. Which herbal supplements should the nurse instruct the patient to avoid while taking this medication? (Select all that apply.)
A) Green tea
B) Kava-kava
C) White willow
D) Cascara sagrada
E) Aloe barbadensis
D, E
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Aloe barbadensis or cascara sagrada interacts with thiazide diuretics to cause an increased loss of potassium. Green tea can cause anorexia, diarrhea, insomnia, and vertigo. Kava-kava interacts with central nervous system depressants to cause increased sedation. White willow interacts with salicylates to cause increased antithrombotic effects.
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A woman is admitted to the high-risk OB unit with the diagnosis of preterm labor. Orders include bedrest with continuous fetal monitoring, administration of magnesium sulfate (Sulfamag) and betamethasone (Celestone), and laboratory work
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The nurse determines that the diagnosis of Ineffective Airway Clearance is appropriate for a client with pneumonia who is experiencing copious amounts of respiratory secretions. Which intervention should the nurse include in this client's plan of care?
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