The nurse is conducting a hospital admission history and assessment. The client informs the nurse of taking the herb black cohosh (Actaea racemosa) daily. What is the best nursing response?

Question

Quizplus · Accepted Answer

The nurse should follow up regarding the quantity of the herb and how it is used. Black cohosh is used by some clients for menopausal hot flashes. The main side effects are thickening of the uterine lining and potential liver toxicity. Herbs can cause harmful reactions when taken in combination with other drugs. It is most important to determine that an herb does not interfere with other medications. Herbal therapy is usually stopped 2-3 weeks before any surgery. (Option A) Although black cohosh is typically used for menopausal symptoms, this is not the most important issue. (Option B) Herbs are not routinely continued during a short hospitalization, especially when used for comfort symptomatic relief. (Option D) There is no established contraindication at this point. Some herbs, such as those starting with "g" (eg, garlic, ginger, gingko, ginseng) lead to an increased bleeding risk. St. John's wort interferes with the metabolism of other drugs. It is important to know about potential interactions and the necessary response (eg, delay surgery, change medication or dosing). Educational objective: Contact the pharmacy to determine possible drug-drug interaction in a client using herbal therapy.

The Nurse Is Conducting a Hospital Admission History and Assessment