A patient has been using an herbal supplement for 2 years that the primary care NP knows may have toxic side effects. The NP should:
a. tell the patient to stop taking the supplement immediately.
b. inform the patient of the risks of toxic side effects with this supplement.
c. refer the patient to a CAM provider who can manage this patient's therapy.
d. prescribe another herbal drug that has fewer adverse effects than the one the patient is taking.
B
It is important for primary care NPs to inform patients of any known risks associated with herbal supplements. Asking the patient to stop an herbal remedy immediately when the patient has been using it for 2 years would probably be met with resistance. The NP should realize that referral to a CAM provider can incur legal liabilities if the CAM provider does not have proper competencies and licensure. Likewise, unless there is evidence-based documentation about the safety and efficacy of a product, the NP should not prescribe these therapies.
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