The patient takes St. John's wort for depression but does not tell anyone about this. The psychiatrist prescribes an SSRI. What could the nurse's assessment reveal due to this concurrent administration?
1. Dizziness
2. Serum glucose level of 340
3. Sedation
4. Serum potassium of 6.0
1
Rationale 1: Dizziness is associated with serotonin syndrome, which may occur when St. John's wort and SSRIs are given concurrently.
Rationale 2: Combining St. John's wort and an SSRI does not result in hyperglycemia.
Rationale 3: It is more likely that concurrent administration of St. John's wort and an SSRI will result in agitation.
Rationale 4: Combining St. John's wort and an SSRI will not result in hyperkalemia.
Global Rationale: Dizziness is associated with serotonin syndrome, which may occur when St. John's wort and SSRIs are given concurrently. Combining St. John's wort and an SSRI does not result in hyperglycemia or hyperkalemia. It is more likely that concurrent administration of St. John's wort and an SSRI will result in agitation.
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