A woman who is experiencing hot flashes associated with menopause asks the nurse about using black cohosh. Which response by the nurse is correct?

a. "Black cohosh may be used long term in place of hormone replacement therapy."
b. "Black cohosh may contribute to iron toxicity."
c. "Black cohosh may interact with antihypertensive drugs."
d. "Black cohosh treats menopausal symptoms without altering hormone levels."


ANS: C
Black cohosh may increase the action of antihypertensive medications. It should not be used longer than 6 months. It may decrease iron absorption, contributing to iron deficiency. Black cohosh suppresses luteinizing hormone and optimizes estrogen levels.

Nursing

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