When a client who routinely takes the herb St. John's Wort (SJW) shares that their "hay fever is really bad right now," the nurse initially:
a. notifies the primary care provider that the client has been self-medicating for hay fever
b. compares the client's current blood pressure to his/her baseline blood pressure
c. stresses the need to avoid over-the-counter (OTC) medications containing monoamines
d. suggests that the client stop taking the herb until the hay fever has improved
ANS: B
When taking SJW, people should be warned not to take medications containing monoamines, such as medications for nasal decongestants, hay fever, and asthma, because this combination may cause hypertension. The primary care provider should not be notified until the BP monitoring is known. Avoiding specific OTC medications and stopping the herb is information the client should have been given prior.
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