MyLab Chapter 10
A nurse instructor is planning to discuss the Dietary Supplement Health Education Act of 1994 with a group of nursing students. The instructor plans to include which of the following? It mandates that herbal product labels state that the products are not intended to diagnose, treat, cure, or prevent disease. It ensures that herbal products provide proof of their intended effects. It mandates that herbal product labels contain accurate information. It requires that herbal products undergo the same rigorous testing as drugs do under the FDA.
A
The client takes several prescription medications and asks the nurse about using complementary and alternative medicine. What is the best reply by the nurse? CAM is an approach that might reduce your need for medications. CAM is a good idea that you should discuss with your healthcare provider. CAM might help, but you will still need your medications. CAM has not been demonstrated to help with your kind of symptoms.
A
The client tells the nurse that he or she has been taking herbal preparations to boost his or her immune system functioning. He or she does not know the names of the preparations. What is the best assessment question for the nurse to ask? Would you please have your wife or husband bring the bottles to the hospitals? Would you please ask your wife or husband to discuss this with me during her next visit? Would you please tell your doctor about the herbs during the next visit? Would you please ask your wife or husband to call the hospital pharmacist with the names?
A
A client experiencing occasional minor digestive problems asks the nurse about herbal therapy. What is the best response by the nurse? Select all that apply. Wheat grass Green tea Ginger Grape seed Stevia
A B C
A client who is considering taking a dietary supplement recommended by the nurse asks how to determine if the supplement is safe. The nurse explains that the Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2007 requires that companies marketing herbal and dietary supplements do which of the following? Select all that apply. Include their contact information on the label so consumers can report adverse effects. Notify the FDA within 15 days of receiving a report of an adverse effect. Keep records of adverse effects for at least 6 years and make these records available for inspection by the FDA. Demonstrate product effectiveness prior to release of the product to the public. State which conditions the product is intended to cure or prevent.
A B C
A client with a family history of heart disease asks the nurse to recommend herbs that decrease the risk for heart disease. The nurse suggests the client discuss which herbs with the healthcare provider? Flaxxseed Green tea Soy Milk thistle Acai
A B C
A client with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication to decrease the use of prescription drugs. The nurse suggests the client discuss the efficacy of which herbs with the healthcare prover? Select all that apply. Evening primrose St.John's Wort Ginger Gingseng Bilberry
A B C
A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The client asks about non pharmacologic ways to manage her symptoms. Which herbs should the nurse suggest as alternatives? Select all that apply. Soy Black cohosh Evening primrose Saw palmetto Acai
A B C
The nurse is teaching clients in a senior center about complementary and alternative therapies. Which statement made by a client indicates understanding of the information the nurse has presented? Select all that apply. I see now that 'natural' doesn't really mean 'safe' and I should ask my health care provider about supplements I want to take. I didn't realize some herbal supplements may be just as strong as a prescription drug. I will need to discuss any supplements I want to try with my doctor. I understand now that when I choose to use a natural product over a prescription medication, I could be delaying my recovery. It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective therapy. It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective therapy.
A B C
Which client would be most likely to seek complementary and alternative therapies as treatment modality? A 48-year-old male who wants to boost his immune system. A 22-year-old male athlete who is preparing for the Olympics. A 50-year-old female going through menopause A 58-year-old male with prostate problems None of these clients would be wise to seek these therapies.
A B C D
The client says 'I am convinced that the mind-body interventions I am using are improving my health.' The nurse would ask additional questions about which complementary and alternative therapies that belong to this category? Select all that apply. Yoga Massage Dance Herbal Therapies Biofeedback
A B C and E
The client asks if there are any supplements that would help improve or preserve his memory. Which supplements would the nurse discuss? Select all that apply. Carnitine Coenzyme Q10 Glucosamine DHEA Selenium
A D
A client asks a nurse what the common complications are due to drug-herbal interactions. How would the nurse respond? Hair growth Blood coagulation Vision loss Urine output
B
A nurse is teaching a student nurse about the active ingredients of herbal medicines. Which of the following indicates that teaching was effective? Are found only in the root system. Can be found in all parts of the herb. Are found only in the rhizome. Are found only in the stems and leaves.
B
The client is being treated for cardiac dysrhythmia with amiodarone (Cordarone). The client has elevated liver function tests (LFTs). Which assessment finding would the nurse suspect as contributing to the elevated LFTs? The client was taking Kava-Kava for anxiety. The client was taking Echinacea to treat cold symptoms. The client was taking gingko biloba for memory problems. The client was taking St. John's wort for depression.
B
The client uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this herb. The healthcare provider orders warfarin (coumadin) for this client. Which findings may the nurse find upon assessment? A blood glucose of 56. Petechiae and bleeding from the gums. An international normalized ratio (INR) of 3.0 Headache, dizziness, sweating and agitation.
B
A client asks a nurse why herbal remedies are popular now. What is the nurse best response? They are more effective for treating bacterial infections. Most insurance policies cover them. They are being marketed very aggressively. Their popularity is decreasing, not increasing.
C
A nurse is caring for a client being treated for seizures. The nurse would be most concerned if the client is also taking which herbal product? Goldenseal Ginger Ginkgo Feverfew
C
A pregnant client asks the nurse about changing from her prescription antidepressant medication to St.John's wort because it is natural. What is the best response by the nurse? No, herbal preparations are just not safe to take during pregnancy. Yes, you can change, but let your doctor know at your next appointment. St. John's wort is a drug, and this should be discussed with your healthcare provider. It should be okay because your baby has been exposed to an antidepressant.
C
A student nurse asks a nurse how speciality supplements differ from herbal products. What is the nurse's best response? Speciality supplements must be prescribed. Speciality supplements are generally targeted for more general conditions. Speciality supplements can come from animal sources. Herbal products are more specific in their actions.
C
Clients at a senior citizen center have asked the nurse to do a presentation on herbal preparations. Which statement would be included in the best plan by the nurse? As long as the herbal preparation has been tested in the clinical setting, it is safe. Herbal preparations are safe as long as you carefully read the label Herbal preparations actually are drugs, you must be careful with them. Herbal preparations can be dangerous if you are allergic to them.
C
The client confides in the nurse that he or she is drawn to complementary and alternative medicine because it promotes the "whole person". The client would like spirituality and prayer included in his or her plan of care. What is the best response by the nurse? "We usually do not pray with clients; is there something you are worried about?" "I think your spiritual concerns are best left up to you and your minister." "We will include spirituality in your plan. Would you like to say a prayer?" "What exactly do you mean by spirituality and prayer?"
C
The client takes St. John's wort for depression but does not tell the healthcare provider. The provider prescribes an SSRI. The nurse should monitor for which of the following? Serum potassium of 6.0 Sedation Dizziness Serum glucose level of 340
C
The nurse plans to teach clients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the nurse? Herbs, like prescription drugs, usually only contain one active ingredient. Most herbs, like prescription drugs, are standardized and regulated the the Food and Drug administration (FDA). The active ingredients in an herb, unlike prescription drugs, must be present in just one part or many parts. Herbs are considered to be safer than prescription medications as they are natural.
C
The nurse has been teaching a client about herbal preparations and determines that additional teaching is required when the client makes which statement? Herbal preparations are available in solid and liquid forms. I should check with you before using an herbal product. I need to be careful about when I store my herbal product. Herbal products usually contain only one active ingredient.
D
The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patient make which statement? The manufacturer of the dietary supplement has the burden of proof for the safety of the supplement. Dietary supplements must go through rigorous testing prior to being marketed by the manufacturer. The Food and Drug Administration is not involved with the approval of the dietary supplement and cannot remove it from the market. Products can make claims based on body structure and function like 'promotes health urinary tract'.
D
The nurse prepares to teach clients about the safety and efficacy of herbal preparations. Which statement would be included in the best plan by the nurse? Herbal preparations have to meet the same safety and efficacy standards as prescription and over-the-counter drugs. The label on the herbal preparation is required by the Dietary Supplement Health and Education Act to be accurate. Herbal preparations must be tested for safety and efficacy prior to marketing. The manufacturer does not have to prove the safety or efficacy of the herbal preparation.
D
The older adult asks the nurse how dietary supplements will help support health. What is the best response by the nurse? Dietary supplements will help support and maintain hydration. Soy isoflavone will help prevent Alzheimer's disease. Chromium will help you achieve and maintain optimum weight. Fish oil will help to enhance your brain function.
D
The client tells the nurse that he or she plans to take St.John's wort to treat his or her depression. What is the best response by the nurse? Select all that apply. That should be fine as long as you are not suicidal. St.John's Wort is successfully used in Europe for minor depression. It would be a good idea to try this before paying for a prescription medication. It would be better to have a psychiatric assessment first. Herbal prescriptions can interact with many other medications.
D E
A nurse is planning to teach a client about the relationship of complementary and alternative therapies to pharmacology. What should the nurse include? They have little-to-no value in disease prevention and treatment. They serve as competitors and should not be promoted. They can reduce client medication needs. They are more effective than medication use.
They can reduce client medication needs.
