pharm CAQ 11b
A patient questions the nurse about herbal treatments for arthritic pain. What is the nurse's best response? a. "Glucosamine has shown promise. Consult your healthcare provider." b. " Ginkgo biloba has proven to be very useful as an anti-inflammatory agent." c. "There are no safe herbal treatments for pain; take your prescription medications." d. "High doses of vitamins have been used for many years to help maintain joint health."
a
During the assessment process, the patient reports using oral comfrey for the treatment of acne. What should the nurse teach the patient about the adverse effects of comfrey? a. Severe liver damage can occur. b. Frequent headaches can occur. c. Urinary tract infections can occur. d. Gastrointestinal (GI) disturbances are common.
a
A patient is drinking at least 1 L of cranberry juice daily for the prevention of urinary tract infection. Which statements would the cause the nurse to instruct the patient to use caution? a. "I eat red meat once a week." b. "My joints hurt all of the time." c. "I've had kidney stones in the past." d. "I have to urinate every couple of hours."
c
The herbal therapist recommends feverfew for a patient to treat migraine headaches. Which information regarding use of the drug should the nurse provide to the patient? a. "You may get mouth ulcers after using this herb." b. "You should take this herb for 3 months for best results." c. "You should take this herb with a nonsteroidal anti-inflammatory drug (NSAID)." d. "You should stop taking the herb immediately at the end of the prescribed duration."
a
The 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? a. Insulin b. Aspirin c. Furosemide [Lasix] d. Docusate sodium [Colace]
a
What are the adverse effects of feverfew ( Tamacetum parthenium)? a. Nausea b. Joint pain c. Skin rashes d. Blurred vision e. Muscle stiffness
a, b, e
A patient is taking St. John's wort for mild depression. The nurse understands that St. John's wort can also be used for which purpose? a. Skin infections b. Abdominal distress c. Pain and inflammation d. Memory enhancement e. Urinary tract infections
a, c
The patient reports taking kava. The nurse recalls that kava is used for which problems? a. Anxiety b. Diarrhea c. Insomnia d. Heartburn e. Visual disturbances
a, c
The nurse is teaching a group of coworkers how St. John's wort interacts with conventional medications. Which facts will be included in the teaching? a. It can cause induction of 3A4 isoenzymes of cytochrome P450. b. It undergoes enzymatic conversion to equol, a compound with estrogenic actions. c. It can intensify serotonergic transmission to cause potentially fatal serotonin syndrome. d. By increasing P-glycoprotein synthesis, St. John's wort can accelerate the elimination of drugs. e. It can increase the availability of gamma-aminobutyric acid at synapses in the central nervous system (CNS).
a, c, d
The patient has been prescribed probiotics for the treatment of irritable bowel syndrome. What does the nurse identify as characteristics of probiotics? . a. They can cause flatulence. b. They have antiaging effects. c. They can be taken with antibiotics. d. They promote migraine headaches. e. They are composed of bacteria and yeast.
a, e
A patient is taking ma huang for weight loss. What life-threatening adverse effects should the nurse teach the patient about this herbal remedy? a. Anaphylaxis b. Myocardial infarction c. Abdominal obstruction d. Gastrointestinal bleeding
b
A patient who has rheumatoid arthritis tells the nurse, "I take an herbal remedy for the stiffness I feel in my legs early in the morning." Which herbal remedy has been recommended for this purpose? a. Garlic b. Ginger c. Licorice d. Ginseng
b
The nurse is teaching a patient about the benefits of soy. Which patient statement confirms that the patient understands the benefits of soy? a. "I can take soy with my tamoxifen." b. "Soy might help me with hot flashes." c. "Soy can help me with my depression." d. "I shouldn't eat meat if I'm taking soy."
b
The nurse should question the use of kava in a patient with a history of which condition? a. Anxiety b. Hepatitis c. Hypertension d. Cardiovascular disease
b
Which statement is found in the Dietary Supplement Health and Education Act (DSHEA) of 1994? a. No proof of efficacy is required for legend drugs. b. No proof of efficacy is required for dietary supplements. c. No proof of efficacy is required for over-the-counter drugs. d. Dietary supplements have to be supplied upon prescription.
b
The patient reports taking ginkgo biloba for memory enhancement. Which should the nurse teach the patient? a. Ginkgo biloba is useful for preventing migraines. b. Patients taking antipsychotics should avoid taking ginkgo biloba. c. Patients with known seizure disorders should not take ginkgo biloba. d. Ginkgo biloba can cause gastrointestinal (GI) disturbances, especially in high doses. e. Pregnant patients should use caution; ginkgo biloba can stimulate uterine contraction.
b, c, d
A patient is taking valerian root for the promotion of sleep. What should the nurse teach the patient about the adverse effects of valerian root? a. Urinary retention can occur. b. Avoid driving while taking valerian root. c. If you feel depressed, call your provider. d. Prolonged use can cause cardiac abnormalities. e. If you become pregnant, stop taking valerian root.
b, c, d, e
A patient inquires about the uses of topical echinacea. The nurse recognizes that topical echinacea is used to treat which conditions? a. Pain b. Inflammation c. Stretch marks d. Herpes simplex e. Wounds and burns
b, d, e
A patient with peripheral artery disease inquires about the use of natural treatments to help maintain a daily walking regimen. What herbal treatment should the nurse suggest? a. Ginger root b. Glucosamine c. Ginkgo biloba d. Cranberry juice
c
The nurse is interviewing a patient who has chronic obstructive pulmonary disease (COPD). The patient wants to use herbal medications rather than conventional medications to treat a cold. Which statement made by the nurse is appropriate? a. "Herbal supplements have more side effects than conventional medications." b. "Many herbal medications are very expensive compared to conventional medications." c. "You should discuss any plans to take herbal medications with your primary healthcare provider." d. "You will need a prescription from your primary healthcare provider for herbal medications."
c
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? a. "Do not take any dietary or herbal supplements." b. "Increase consumption of foods high in vitamin K." c. "Notify the healthcare provider immediately if you experience any signs of bleeding." d. "Research studies have shown there is no benefit to using herbs to treat medical conditions."
c
The nurse is reviewing the medical record of a patient who reports taking an echinacea (Echinacea angustifolia) supplement. Which condition would prompt the nurse to tell the patient to refrain from taking echinacea in the future? a. Diabetes b. Glaucoma c. Tuberculosis d. Peptic ulcer disease
c
A patient has frequent sunburns after taking a specific herb on a regular basis. The nurse expects that the patient has been taking which herb? a. Garlic b. Hawthorn c. Milk thistle d. St. John's wort
d
A patient is admitted with multiple bruises over the arms and legs. What should be the nurse's first action? a. To call the healthcare provider b. To draw blood for coagulation studies c. To notify the police about possible abuse d. To ask the patient for a list of medications and herbal supplements
d
A patient reports taking garlic to reduce cholesterol. The nurse recalls that which form of garlic is most effective? a. Cooked garlic b. Powdered garlic c. Minced, raw garlic d. Enteric-coated garlic
d
A patient who has depression is admitted to the emergency department with serotonin syndrome. The nurse learns that the patient is taking an herbal medication and citalopram [Celexa]. Which herbal medication is the patient most likely taking? a. Valerian b. Cranberry c. Saw palmetto d. St. John's wort
d
The nurse is caring for a patient with severe hypoglycemia. The nurse finds that the patient is taking diabetic medications in addition to herbal medications. Which herbal medication does the nurse expect to be responsible for the patient's condition? a. Garlic b. Chamomile c. Blue cohosh d. Black cohosh
d
The nurse is planning a teaching session for coworkers about laws that require a company to report adverse effects of nonprescription drugs and dietary supplements. Which act would the nurse review in preparation for the teaching? a. Pure Food and Drug Act b. Federal Food, Drug, and Cosmetics Act c. Dietary Supplement Health and Education Act of 1994 d. The Dietary Supplement and Nonprescription Drug Consumer Protection Act
d
The nurse is reviewing information concerning regulation of manufacturing and labeling of dietary supplements. Which standards address this issue? a. U.S. Pharmacopeia b. Dietary Supplement Health and Education Act of 1994 c. National Center for Complementary and Alternative Medicine Standards d. Current Good Manufacturing Practices issued by the U.S. Food and Drug Administration (FDA)
d
The nurse who collects a medication history finds that a patient takes medications prescribed by the healthcare provider as well as herbs from the local health food store. What other name could the nurse use to describe the herbal medicine taken by the patient? a. Eastern medicine b. Western medicine c. Traditional medicine d. Complementary medicine
d
Which patient characteristic will lead the nurse to avoid recommending ginger root for relief of nausea? a. Obesity b. Age over 65 c. Postoperative status d. Type 1 diabetes mellitus
d