The nurse provides counseling to a patient who reports taking kava to treat anxiety-related symptoms. Which statement by the patient indicates understanding of the teaching?
a. "I may take kava with lorazepam (Ativan)."
b. "I may develop a serious skin disorder while taking kava."
c. "I should avoid alcohol while taking kava."
d. "I should avoid St. John's wort and valerian while taking kava."
ANS: C
Kava can cause drowsiness and may cause liver damage. Patients should be cautioned against drinking alcohol while taking kava. Kava increases the effect of other benzodiazepines, so it should not be taken with lorazepam. It does not cause skin disorders. It may be taken with St. John's wort and valerian.
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