The physician has ordered Paxil (paroxetine) for a client with generalized anxiety disorder. The nurse should instruct the client to avoid herbal preparations that contain: A. Hypericum B. Angelica C. Chamomile D. Echinacea

Short Answer

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Answer: A. Hypericum

Step by step solution

01

Identify the correct medication

First of all, identify the medication prescribed by the physician, which is Paxil (paroxetine). Paxil is an antidepressant that belongs to the class of drugs called selective serotonin reuptake inhibitors (SSRIs). It is used to treat various mental health conditions such as depression, anxiety disorders, and obsessive-compulsive disorder.
02

Investigate possible interactions between Paxil and the herbal preparations

Now, let us investigate the potential interactions between Paxil (paroxetine) and the herbal preparations listed in the options: A. Hypericum (also known as St. John's Wort) B. Angelica C. Chamomile D. Echinacea
03

Determine the herbal preparation to avoid with Paxil

Upon investigation, it is found that Hypericum (St. John's Wort) has a significant interaction with Paxil. St. John's Wort can decrease the effectiveness of Paxil by increasing the rate at which the body processes the medication, leading to decreased blood levels. This may result in a decreased therapeutic effect and an increased risk of side effects. Therefore, the client should avoid Hypericum while taking Paxil.
04

Select the correct answer

Based on the information provided in the previous steps, we can now conclude that the client taking Paxil (paroxetine) should avoid herbal preparations that contain: A. Hypericum Therefore, the correct answer is A. Hypericum.

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