Difficulty: Medium
Average Score: 94%
Simulated
A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client's history, the nurse determines that the client has been self-administering St. John's Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding?
Correct answer
A
Rationale
St. John's Wort induces cytochrome P450 enzymes, decreasing cyclosporine levels, which increases the risk of graft rejection in transplant patients.