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Smiranda01 Smiranda01
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6 years ago
A patient diagnosed with depression confidently tells the nurse, I've been supplementing my paroxetine (Paxil) with St. John's wort. It has helped a great deal. What is the nurse's priority action?
 
  a. Assess changes in the patient's level of depression.
  b. Remind the patient to use a secondary form of birth control.
  c. Educate the patient about the risks of selective serotonin syndrome.
  d. Suggest adding valerian to the treatment regimen to further improve results.
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#1
6 years ago
ANS: C
Research has suggested that St. John's wort inhibits serotonin reuptake by elevating extracellular sodium; thus, it may interact with medication, particularly selective serotonin reuptake inhibitors, to produce serotonin syndrome. Discussing the patient's birth control method is a secondary priority.
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