The patient tells the nurse that she plans to take St. John's wort to treat her depression. What is the best response by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "That should be fine as long as you are not suicidal."
2. "St. John's wort is successfully used in Europe for minor depression."
3. "It would be a good idea to try this before paying for a prescription medication."
4. "It would be better to have a psychiatric assessment first."
5. "Herbal preparations can interact with many other medications."
4,5
Rationale 1: The suicidality of the patient should not be a determining factor with using St. John's wort.
Rationale 2: Even though St. John's wort is successfully used in Europe, this does not mean it is appropriate for this patient.
Rationale 3: The cost of the prescription medication should not be a determining factor.
Rationale 4: Anyone who is depressed should have a psychiatric assessment prior to starting on any type of medication. Often, there is a physiological cause for the depression that must also be treated.
Rationale 5: Herbal preparations do interact with many other medications and can have serious adverse side effects.
Global Rationale: Anyone who is depressed should have a psychiatric assessment prior to starting on any type of medication. Often, there is a physiological cause for the depression that must also be treated. Herbal preparations do interact with many other medications and can have serious adverse side effects. The suicidality of the patient should not be a determining factor with using St. John's wort. Even though St. John's wort is successfully used in Europe, this does not mean it is appropriate for this patient. The patient should have a psychiatric assessment prior to trying St. John's wort; the cost of the prescription medication should not be a determining factor.
You might also like to view...
A dying client began having periods of absence of breathing alternating with noisy, rattling respirations. The nurse should document that the client is experiencing:
1. Cheyne-Stokes respirations. 2. Apnea. 3. Dyspnea. 4. Orthopnea.
Elevate the side rails 60 minutes after the patient receives the preoperative injection.
Answer the following statement true (T) or false (F)
You have set an IV to deliver 250 mL of normal saline over three hours using microdrip tubing. How much fluid are you delivering every 30 minutes?
A. 56 mL B. 64 mL C. 42 mL
The nurse is planning care for the client with Cushing's syndrome who has been admitted for complications related to the disease process
Which intervention should the nurse plan for this client to improve the impaired gas exchange? A) Monitor serum electrolytes. B) Schedule nursing activities to allow for periods of rest. C) Assess input and output accurately. D) Administer IV fluids per practitioner order.