Pharm quiz 3 chapter 108
A patient asks the nurse for a supplement that can be used to prevent motion sickness during a vacation cruise. The nurse suggests which supplement?
Ginger root (Zingiber officinale)
flaxseed
treat constipation
black cohosh
treat symptoms of menopause
ginger root
treat vertigo
the priority teaching when a pt chooses to use a dietary supplest is that is it best to
use products that have the seal of approval from usp
dietary supplements labels may claim to treat a specific disease without adequate research supporting the claim
F
natural products are always better and safer than synthetic products
F
the fda cannot remove a dietary supplement from the market even if there is evidence it causes harm
F
The nurse is completing an admission assessment for a patient who requires treatment of an anxiety disorder. The patient states "I take the dietary supplement kava every day to help my anxiety and stress." The nurse understands the patient is at risk for which serious adverse effect?
Hepatoxicity
which lab test would be priority of the for the nurse to monitor if a pt with heart failure was prescribed waldron and self preserved coenzyme Q-10 saw palmetto, reverastrol, finer, garlic, and/or ginkgo biloba
INR
A patient is taking black cohosh (Cimicifuga racemosa) for relief of menopausal symptoms. The nurse should caution her about adverse interactive effects with which conventional medication?
Insulin
Which product did the U.S. Food and Drug Administration (FDA) ban in the United States because of the serious adverse effects of myocardial infarction, stroke, and death?
Ma huang (Ephedra)
The nurse is preparing the discharge teaching plan for a patient who had a mechanical valve replacement and has been prescribed coumadin. The nurse reviews the patient's medication history and notes the patient is taking the herbal supplement glucosamine to treat osteoarthritis. Which instructions should the nurse give to this patient?
Notify the healthcare provider immediately if you experience any signs of bleeding.
Which information on the product label of an herbal supplement would comply with the regulations established by the Dietary Supplement Health and Education Act (DSHEA)?
Supports the immune system
dietary supplements have been found to contain harmful ingredients such as arsenic mercury and lead
T
dietary supplements have been found to not contain the stated ingredients in the amount listed on the label
T
dietary supplest labels can insinuate that provide health benefits
T
products marketed as dietary supplements do not require rigorous emulation before marketing
T
there is conflicting evidence that dietary supplements are effective or safe
T
The nurse recognizes that the supplement echinacea (Echinacea angustifolia) should not be taken as prolonged therapy for patients with which condition?
Tuberculosis
what is the priority nursing action when a nurse discovers that a pt self prescribers herbal products
assess for drug interactions and adverse effects of the product
Saw palmetto
benign prostatic hyperplasia
german studies it is important for the nurse to teach women prescribed antihypertensives and taking black cohosh for hot flashes and insomnia to
change positions slowly
the pt lists echinacea, garlic, kava among the products used regularly. first observation nurse notes that the pt skin has a yellowish color. wha tis the most appropriate action for the nurse to take next
continue to asses the pt
st. johns wort
depression
what is priority concern for the nurse when a pt with multiple medical disorders self prescribes st. johns wort
effect on other prescribed drugs
a pt who is taking metronidazole is at risk for a Antabuse reaction if also taking an herbal product in which form
extracts or tinctures containing alcohol
The patient is prescribed warfarin [Coumadin] to treat deep vein thrombosis. The nurse is teaching the patient about dietary supplements that have the potential to interfere with coumadin therapy. What herbs should the nurse include in the teaching? (Select all that apply.)
garlic ginger root Gingko biloba
ginkgo biloba
increase pain free walking distance
a pt who regularly takes feverfew to prevent migrant headaches stopped taking the herb before elective surgery. the nurse should access the pt for what
insomnia
what is true about echinacea (select all that apply)
it can aggravate autoimmune disorders it can produce an allergic reaction in pt allergic to ragweed the first time taken it can suppress the immune system with long term use
the nurse is aware that which herbal supplement has been associated with liver failure
kava
CGMPS are designed to ensure that dietary supplements
list their active and inert ingredients
the nurse us caring for a pt who admits to using mail order ma hang for weight loss. it is priority for the nurse to do what.
monitor vitals
a pt prescribed gluctorl for type 2 diabetes and celebrex for inflamed joints informs the nurse she has started taking ginger because she read in a magnate the tits helps arthritis, it is priority to teach the pt to be alert for possible hypoglycemia symptoms including
palpations and sweating
research suggests which possible effect of a cranberry juice
preventing bacteria from adhering to the bladder wall
valerian
promote sleep
feverfew
prophylaxis of migraine
garlic
reduce triglycerides
pregnant nurses should wear gloves if they are administering which herbal supplement
saw palmetto
it is priority to inform pt with which disorder that ginkgo biolba can aggravate their condition
seizures
echinacea
stimulate immune function
what is an appropriate outcome for a 12 year old child relating top robotics prescribed during a rotavirus infection
soft formed stool
