A client's spouse brings the client to the urgent care facility. The spouse is worried because the client has been very drowsy recently
After taking the client's history, the nurse determines that the combination of prescribed benzodiazepine and which herbs may be causing the drowsiness?
1. St. John's wort
2. Kava
3. Valerian
4. Ginkgo
5. Soy
Correct Answer: 1,2,3
Rationale 1: St. John's wort causes relaxation and may result in excessive sedation if taken with a benzodiazepine.
Rationale 2: Kava causes relaxation and may result in excessive sedation if taken with a benzodiazepine.
Rationale 3: Valerian causes relaxation and may result in excessive sedation if taken with a benzodiazepine.
Rationale 4: Ginkgo does not cause sedation and should not interact with the benzodiazepine.
Rationale 5: Soy does not cause sedation and should not interact with the benzodiazepine.
Global Rationale: St. John's wort, kava, and valerian cause relaxation and may result in excessive sedation if taken with a benzodiazepine. Ginkgo does not cause sedation and should not interact with the benzodiazepine. Soy does not cause sedation and should not interact with the benzodiazepine.
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