A client with a history of depression is taking cyclosporine to prevent organ rejection. However, recent tests indicate the medication is losing effectiveness. The nurse should ask if the client is taking which herbal supplement?
1. Flaxseed
2. Saw palmetto
3. St. John's wort
4. Black cohosh
Correct Answer: 3
Rationale 1: Flaxseed is used primarily to treat high cholesterol, not depression.
Rationale 2: Saw palmetto is used to decrease prostate size, not to treat depression.
Rationale 3: St. John's wort is commonly used to treat depression. It can decrease cyclosporine levels, resulting in decreased protection for the transplanted organ.
Rationale 4: Black cohosh is used to decrease menopausal symptoms, not to treat depression.
Global Rationale: St. John's wort is commonly used to treat depression. It can decrease cyclosporine levels, resulting in decreased protection for the transplanted organ. Flaxseed is used primarily to treat high cholesterol, not depression. Saw palmetto is used to decrease prostate size, not to treat depression. Black cohosh is used to decrease menopausal symptoms, not to treat depression.
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