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Basic Care & Comfort

A client is admitted to the hospital with a blood pressure of 85/53 mm Hg and is complaining of light-headedness and near syncope. The client’s current medications include carvedilol (Coreg), amiodarone (Cordarone), warfarin (Coumadin), lanoxin (Digoxin), furosemide (Lasix), potassium (K-Dur), and a daily vitamin. The client also reports using both St. John’s wort and cat’s claw. Based upon this information, what is the nurse’s best action?

Notify the physician immediately reporting the client is critically ill and needs transfer to the ICUNotify the physician that the client’s use of cat’s claw may interact with some of the other heart medications that the client is taking, resulting in hypotensionNotify the physician that the client’s use of St. John’s wort may interact with the diuretic the client is taking, resulting in light-headednessNotify the physician that the client’s use of cat’s claw may interact with the anticoagulant the client is taking, resulting in near syncope

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ExplanationNotify the physician that the client’s use of cat’s claw may interact with some of the other heart medications the client is taking, resulting in hypotension.

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