Adams Pharmacology for Nurses: 4th Edition Test Bank - Adams

Adams Pharmacology for Nurses: 4th Edition Test Bank – Adams

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Adams Pharmacology for Nurses: 4th Edition Test Bank – Adams
What: TEST BANK
ISBN: 0133026183
Year Published: 2013
Authors: Adams
Edition: 4th

Product Description

Adams Pharmacology for Nurses: 4th Edition Test Bank – Adams

 

Adams Pharmacology for Nurses: 4th Edition Test Bank – Adams

 

Sample

 

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E
Chapter 10

Question 1

Type: MCSA

The patient confides in the nurse that she is drawn to complementary and alternative medicine because it promotes the “whole person.” The patient would like spirituality and prayer included in her plan of care. What is the best response by the nurse?

  1. “We will include spirituality in your plan. Would you like to say a prayer?”
  2. “I think your spiritual concerns are best left up to you and your minister.”
  3. “What exactly do you mean by spirituality and prayer?”
  4. “We usually do not pray with patients; is there something you are worried about?”

Correct Answer: 1

Rationale 1: Complementary and alternative medicine tends to include the “whole person” more than traditional medicine does. The nurse should offer to pray with the patient if the patient requests this. Refusing to acknowledge the patient’s spiritual concerns, and referring her to her minister, does not treat the “whole person.” Asking the patient to clarify what she means by spirituality and prayer could be appropriate, but is not the best answer. Telling the patient that the nurse does not usually pray with patients will discourage her from discussing spirituality.

Rationale 2: Complementary and alternative medicine tends to include the “whole person” more than traditional medicine does. The nurse should offer to pray with the patient if the patient requests this. Refusing to acknowledge the patient’s spiritual concerns, and referring her to her minister, does not treat the “whole person.” Asking the patient to clarify what she means by spirituality and prayer could be appropriate, but is not the best answer. Telling the patient that the nurse does not usually pray with patients will discourage her from discussing spirituality.

Rationale 3: Complementary and alternative medicine tends to include the “whole person” more than traditional medicine does. The nurse should offer to pray with the patient if the patient requests this. Refusing to acknowledge the patient’s spiritual concerns, and referring her to her minister, does not treat the “whole person.” Asking the patient to clarify what she means by spirituality and prayer could be appropriate, but is not the best answer. Telling the patient that the nurse does not usually pray with patients will discourage her from discussing spirituality.

Rationale 4: Complementary and alternative medicine tends to include the “whole person” more than traditional medicine does. The nurse should offer to pray with the patient if the patient requests this. Refusing to acknowledge the patient’s spiritual concerns, and referring her to her minister, does not treat the “whole person.” Asking the patient to clarify what she means by spirituality and prayer could be appropriate, but is not the best answer. Telling the patient that the nurse does not usually pray with patients will discourage her from discussing spirituality.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-1

 

Question 2

Type: MCSA

The nurse plans to teach patients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the nurse?

  1. “Herbs, like prescription drugs, usually only contain one active ingredient.”
  2. “The active ingredients in an herb, unlike prescription drugs, may be present in just one part or many parts.”
  3. “Most herbs, like prescription drugs, are standardized and regulated by the Food and Drug Administration (FDA).”
  4. “Herbs are considered to be safer than prescription medications as they are natural.”

Correct Answer: 2

Rationale 1: Unlike prescription drugs, the active ingredients in an herb may be present in just one part or many parts. Herbs may actually contain dozens of active chemicals, not just one. Most herbs have not been standardized, and are not regulated by the Food and Drug Administration (FDA). Herbs are not necessarily safer than prescription medications; they are medications.

Rationale 2: Unlike prescription drugs, the active ingredients in an herb may be present in just one part or many parts. Herbs may actually contain dozens of active chemicals, not just one. Most herbs have not been standardized, and are not regulated by the Food and Drug Administration (FDA). Herbs are not necessarily safer than prescription medications; they are medications.

Rationale 3: Unlike prescription drugs, the active ingredients in an herb may be present in just one part or many parts. Herbs may actually contain dozens of active chemicals, not just one. Most herbs have not been standardized, and are not regulated by the Food and Drug Administration (FDA). Herbs are not necessarily safer than prescription medications; they are medications.

Rationale 4: Unlike prescription drugs, the active ingredients in an herb may be present in just one part or many parts. Herbs may actually contain dozens of active chemicals, not just one. Most herbs have not been standardized, and are not regulated by the Food and Drug Administration (FDA). Herbs are not necessarily safer than prescription medications; they are medications.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10-3

 

Question 3

Type: MCMA

The patient tells the nurse that she plans to take St. John’s wort to treat her depression. What is the best response by the nurse?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. “That should be fine as long as you are not suicidal.”
  2. “St. John’s wort is successfully used in Europe for minor depression.”
  3. “It would be a good idea to try this before paying for a prescription medication.”
  4. “It would be better to have a psychiatric assessment first.”
  5. “Herbal preparations can interact with many other medications.”

Correct Answer: 4,5

Rationale 1: Anyone who is depressed should have a psychiatric assessment prior to starting on any type of medication. Often, there is a physiological cause for the depression that must also be treated. Herbal preparations do interact with many other medications and can have serious adverse side effects. The suicidality of the patient should not be a determining factor with using St. John’s wort. Even though St. John’s wort is successfully used in Europe, this does not mean it is appropriate for this patient. The patient should have a psychiatric assessment prior to trying St. John’s wort; the cost of the prescription medication should not be a determining factor.

Rationale 2: Anyone who is depressed should have a psychiatric assessment prior to starting on any type of medication. Often, there is a physiological cause for the depression that must also be treated. Herbal preparations do interact with many other medications and can have serious adverse side effects. The suicidality of the patient should not be a determining factor with using St. John’s wort. Even though St. John’s wort is successfully used in Europe, this does not mean it is appropriate for this patient. The patient should have a psychiatric assessment prior to trying St. John’s wort; the cost of the prescription medication should not be a determining factor.

Rationale 3: Anyone who is depressed should have a psychiatric assessment prior to starting on any type of medication. Often, there is a physiological cause for the depression that must also be treated. Herbal preparations do interact with many other medications and can have serious adverse side effects. The suicidality of the patient should not be a determining factor with using St. John’s wort. Even though St. John’s wort is successfully used in Europe, this does not mean it is appropriate for this patient. The patient should have a psychiatric assessment prior to trying St. John’s wort; the cost of the prescription medication should not be a determining factor.

Rationale 4: Anyone who is depressed should have a psychiatric assessment prior to starting on any type of medication. Often, there is a physiological cause for the depression that must also be treated. Herbal preparations do interact with many other medications and can have serious adverse side effects. The suicidality of the patient should not be a determining factor with using St. John’s wort. Even though St. John’s wort is successfully used in Europe, this does not mean it is appropriate for this patient. The patient should have a psychiatric assessment prior to trying St. John’s wort; the cost of the prescription medication should not be a determining factor.

Rationale 5: Anyone who is depressed should have a psychiatric assessment prior to starting on any type of medication. Often, there is a physiological cause for the depression that must also be treated. Herbal preparations do interact with many other medications and can have serious adverse side effects. The suicidality of the patient should not be a determining factor with using St. John’s wort. Even though St. John’s wort is successfully used in Europe, this does not mean it is appropriate for this patient. The patient should have a psychiatric assessment prior to trying St. John’s wort; the cost of the prescription medication should not be a determining factor.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-5

 

Question 4

Type: MCSA

The patient tells the nurse that he has been taking herbal preparations to boost his immune system functioning. He does not know the names of the preparations. What is the best assessment question for the nurse to ask?

  1. “Would you please tell your doctor about the herbs during the next visit?”
  2. “Would you please ask your wife to discuss this with me during her next visit?”
  3. “Would you please have your wife bring the bottles to the hospital?”
  4. “Would you please ask your wife to call the hospital pharmacist with the names?”

Correct Answer: 3

Rationale 1: The best way for the nurse to assess the kinds of herbal preparations the patient is taking is to actually look at the bottles. It is preferable for the nurse to do the assessment rather than to refer to the pharmacist who may or may not communicate the correct information. It is preferable for the nurse to do the assessment rather than to refer to the physician. Discussing the herbs with the nurse is the second best answer, but having objective data, the bottles, will provide the best information.

Rationale 2: The best way for the nurse to assess the kinds of herbal preparations the patient is taking is to actually look at the bottles. It is preferable for the nurse to do the assessment rather than to refer to the pharmacist who may or may not communicate the correct information. It is preferable for the nurse to do the assessment rather than to refer to the physician. Discussing the herbs with the nurse is the second best answer, but having objective data, the bottles, will provide the best information.

Rationale 3: The best way for the nurse to assess the kinds of herbal preparations the patient is taking is to actually look at the bottles. It is preferable for the nurse to do the assessment rather than to refer to the pharmacist who may or may not communicate the correct information. It is preferable for the nurse to do the assessment rather than to refer to the physician. Discussing the herbs with the nurse is the second best answer, but having objective data, the bottles, will provide the best information.

Rationale 4: The best way for the nurse to assess the kinds of herbal preparations the patient is taking is to actually look at the bottles. It is preferable for the nurse to do the assessment rather than to refer to the pharmacist who may or may not communicate the correct information. It is preferable for the nurse to do the assessment rather than to refer to the physician. Discussing the herbs with the nurse is the second best answer, but having objective data, the bottles, will provide the best information.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-6

 

Question 5

Type: MCSA

The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patients make which statement?

  1. “Products can make claims based on body structure and function like ‘promotes healthy urinary tract.’”
  2. “Dietary supplements must go through rigorous testing prior to being marketed by the manufacturer.”
  3. “The Food and Drug Administration (FDA) is not involved with the approval of the dietary supplement and cannot remove it from the market.”
  4. “The manufacturer of the dietary supplement has the burden of proof for the safety of the supplement.”

Correct Answer: 1

Rationale 1: The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the supplement label may make claims about the product’s effect on body structure and function such as “promotes healthy urinary tract.” The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the government has the responsibility to prove that the dietary supplement is unsafe. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that dietary supplements do not have to be tested prior to marketing. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the Food and Drug Administration (FDA) has the power to remove from the market any product that poses a “significant or unreasonable” risk to the public.

Rationale 2: The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the supplement label may make claims about the product’s effect on body structure and function such as “promotes healthy urinary tract.” The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the government has the responsibility to prove that the dietary supplement is unsafe. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that dietary supplements do not have to be tested prior to marketing. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the Food and Drug Administration (FDA) has the power to remove from the market any product that poses a “significant or unreasonable” risk to the public.

Rationale 3: The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the supplement label may make claims about the product’s effect on body structure and function such as “promotes healthy urinary tract.” The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the government has the responsibility to prove that the dietary supplement is unsafe. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that dietary supplements do not have to be tested prior to marketing. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the Food and Drug Administration (FDA) has the power to remove from the market any product that poses a “significant or unreasonable” risk to the public.

Rationale 4: The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the supplement label may make claims about the product’s effect on body structure and function such as “promotes healthy urinary tract.” The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the government has the responsibility to prove that the dietary supplement is unsafe. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that dietary supplements do not have to be tested prior to marketing. The Dietary Supplement Health and Education Act (DSHEA) of 1994 states that the Food and Drug Administration (FDA) has the power to remove from the market any product that poses a “significant or unreasonable” risk to the public.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10-4

 

Question 6

Type: MCSA

The patient uses Ginkgo biloba to enhance memory functioning, but has not told the nurse about this herb. The physician orders warfarin (Coumadin) for the patient. What will the best assessment of the nurse include?

  1. Headache, dizziness, sweating, and agitation
  2. A blood glucose of 56
  3. An international normalized ratio (INR) of 3.0
  4. Petechiae and bleeding from the gums

Correct Answer: 4

Rationale 1: Ginkgo biloba will interact with warfarin (Coumadin) to promote increased bleeding potential that may lead to petechiae and bleeding from the gums. An international normalized ratio (INR) of 3.0 is within a normal range. Hypoglycemia, (blood glucose of 56), is not the result of an interaction between Ginkgo biloba and warfarin (Coumadin). Headache, dizziness, sweating, and agitation, which are signs of serotonin syndrome, are not the result of an interaction between Ginkgo biloba and warfarin (Coumadin).

Rationale 2: Ginkgo biloba will interact with warfarin (Coumadin) to promote increased bleeding potential that may lead to petechiae and bleeding from the gums. An international normalized ratio (INR) of 3.0 is within a normal range. Hypoglycemia, (blood glucose of 56), is not the result of an interaction between Ginkgo biloba and warfarin (Coumadin). Headache, dizziness, sweating, and agitation, which are signs of serotonin syndrome, are not the result of an interaction between Ginkgo biloba and warfarin (Coumadin).

Rationale 3: Ginkgo biloba will interact with warfarin (Coumadin) to promote increased bleeding potential that may lead to petechiae and bleeding from the gums. An international normalized ratio (INR) of 3.0 is within a normal range. Hypoglycemia, (blood glucose of 56), is not the result of an interaction between Ginkgo biloba and warfarin (Coumadin). Headache, dizziness, sweating, and agitation, which are signs of serotonin syndrome, are not the result of an interaction between Ginkgo biloba and warfarin (Coumadin).

Rationale 4: Ginkgo biloba will interact with warfarin (Coumadin) to promote increased bleeding potential that may lead to petechiae and bleeding from the gums. An international normalized ratio (INR) of 3.0 is within a normal range. Hypoglycemia, (blood glucose of 56), is not the result of an interaction between Ginkgo biloba and warfarin (Coumadin). Headache, dizziness, sweating, and agitation, which are signs of serotonin syndrome, are not the result of an interaction between Ginkgo biloba and warfarin (Coumadin).

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-7

 

Question 7

Type: MCMA

Which patient would be most likely to seek complementary and alternative therapies as a treatment modality?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. A 48-year-old male who wants to boost his immune system
  2. A 22-year-old male athlete who is preparing for the Olympics
  3. A 50-year-old female going through menopause
  4. A 58-year-old male with prostate problems
  5. A 28-year-old female who is healthy

Correct Answer: 1,2,3,4,5

Rationale 1: The 58-year-old male patient with prostate problems may begin treatment with alternative therapies. The 28-year-old female patient who is healthy most likely plans to maintain her health by using complementary and alternative therapies. The 50-year-old female going through menopause may want to treat herself with alternative therapies, as menopause is not an illness. The 22-year-old male athlete who is preparing for the Olympics wants to be in the best possible condition and may use complementary and alternative therapies. The 48-year-old male can effectively boost his immune system by using complementary and alternative therapies.

Rationale 2: The 58-year-old male patient with prostate problems may begin treatment with alternative therapies. The 28-year-old female patient who is healthy most likely plans to maintain her health by using complementary and alternative therapies. The 50-year-old female going through menopause may want to treat herself with alternative therapies, as menopause is not an illness. The 22-year-old male athlete who is preparing for the Olympics wants to be in the best possible condition and may use complementary and alternative therapies. The 48-year-old male can effectively boost his immune system by using complementary and alternative therapies.

Rationale 3: The 58-year-old male patient with prostate problems may begin treatment with alternative therapies. The 28-year-old female patient who is healthy most likely plans to maintain her health by using complementary and alternative therapies. The 50-year-old female going through menopause may want to treat herself with alternative therapies, as menopause is not an illness. The 22-year-old male athlete who is preparing for the Olympics wants to be in the best possible condition and may use complementary and alternative therapies. The 48-year-old male can effectively boost his immune system by using complementary and alternative therapies.

Rationale 4: The 58-year-old male patient with prostate problems may begin treatment with alternative therapies. The 28-year-old female patient who is healthy most likely plans to maintain her health by using complementary and alternative therapies. The 50-year-old female going through menopause may want to treat herself with alternative therapies, as menopause is not an illness. The 22-year-old male athlete who is preparing for the Olympics wants to be in the best possible condition and may use complementary and alternative therapies. The 48-year-old male can effectively boost his immune system by using complementary and alternative therapies.

Rationale 5: The 58-year-old male patient with prostate problems may begin treatment with alternative therapies. The 28-year-old female patient who is healthy most likely plans to maintain her health by using complementary and alternative therapies. The 50-year-old female going through menopause may want to treat herself with alternative therapies, as menopause is not an illness. The 22-year-old male athlete who is preparing for the Olympics wants to be in the best possible condition and may use complementary and alternative therapies. The 48-year-old male can effectively boost his immune system by using complementary and alternative therapies.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10-2

 

Question 8

Type: MCSA

Patients 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?

  1. “Herbal preparations are safe as long as you carefully read the label.”
  2. “As long as the herbal preparation has been tested in the clinical setting, it is safe.”
  3. “Herbal preparations actually are drugs; you must be careful with them.”
  4. “Herbal preparations can be dangerous if you are allergic to them.”

Correct Answer: 3

Rationale 1: Herbal preparations are nonprescription drugs that have side effects, and can interact with many other drugs. There isn’t any clinical evidence to support that herbal preparations have been tested in the clinical setting or that they are safe. Reading the label does not mean the herbal preparation is safe; patients do not commonly recognize the interactions between herbal preparations and prescription medicines. Herbal preparations can be dangerous for reasons other than an allergy to the preparation.

Rationale 2: Herbal preparations are nonprescription drugs that have side effects, and can interact with many other drugs. There isn’t any clinical evidence to support that herbal preparations have been tested in the clinical setting or that they are safe. Reading the label does not mean the herbal preparation is safe; patients do not commonly recognize the interactions between herbal preparations and prescription medicines. Herbal preparations can be dangerous for reasons other than an allergy to the preparation.

Rationale 3: Herbal preparations are nonprescription drugs that have side effects, and can interact with many other drugs. There isn’t any clinical evidence to support that herbal preparations have been tested in the clinical setting or that they are safe. Reading the label does not mean the herbal preparation is safe; patients do not commonly recognize the interactions between herbal preparations and prescription medicines. Herbal preparations can be dangerous for reasons other than an allergy to the preparation.

Rationale 4: Herbal preparations are nonprescription drugs that have side effects, and can interact with many other drugs. There isn’t any clinical evidence to support that herbal preparations have been tested in the clinical setting or that they are safe. Reading the label does not mean the herbal preparation is safe; patients do not commonly recognize the interactions between herbal preparations and prescription medicines. Herbal preparations can be dangerous for reasons other than an allergy to the preparation.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 10-6

 

Question 9

Type: MCSA

The older adult asks the nurse how dietary supplements will help support health. What is the best response by the nurse?

  1. “Fish oil will help to enhance your brain function.”
  2. “Chromium will help you achieve and maintain optimum weight.”
  3. “Dietary supplements will help support and maintain hydration.”
  4. “Soy isoflavone will help prevent Alzheimer disease.”

Correct Answer: 1

Rationale 1: Omega-3 fatty acids are neuroprotective and will enhance brain function. Dietary supplements do not support and maintain hydration. There isn’t any evidence to support that chromium helps with weight maintenance. Soy isoflavone will help reduce the risk of certain types of cancer, but will not help prevent Alzheimer disease.

Rationale 2: Omega-3 fatty acids are neuroprotective and will enhance brain function. Dietary supplements do not support and maintain hydration. There isn’t any evidence to support that chromium helps with weight maintenance. Soy isoflavone will help reduce the risk of certain types of cancer, but will not help prevent Alzheimer disease.

Rationale 3: Omega-3 fatty acids are neuroprotective and will enhance brain function. Dietary supplements do not support and maintain hydration. There isn’t any evidence to support that chromium helps with weight maintenance. Soy isoflavone will help reduce the risk of certain types of cancer, but will not help prevent Alzheimer disease.

Rationale 4: Omega-3 fatty acids are neuroprotective and will enhance brain function. Dietary supplements do not support and maintain hydration. There isn’t any evidence to support that chromium helps with weight maintenance. Soy isoflavone will help reduce the risk of certain types of cancer, but will not help prevent Alzheimer disease.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-6

 

Question 10

Type: MCSA

The patient takes St. John’s wort for depression, but does not tell anyone about this. The psychiatrist prescribes an MAO inhibitor. What will the best assessment of the nurse reveal?

  1. Blood pressure of 210/100 mmHg
  2. Serum glucose level of 340
  3. Blood pressure of 78/40 mmHg
  4. Serum potassium of 6.0

Correct Answer: 1

Rationale 1: Combining St. John’s wort and an MAO inhibitor will lead to a hypertensive crisis. Combining St. John’s wort and an MAO inhibitor does not result in hyperglycemia. Combining St. John’s wort and an MAO inhibitor results in hypertension, not hypotension. Combining St. John’s wort and an MAO inhibitor will not result in hyperkalemia.

Rationale 2: Combining St. John’s wort and an MAO inhibitor will lead to a hypertensive crisis. Combining St. John’s wort and an MAO inhibitor does not result in hyperglycemia. Combining St. John’s wort and an MAO inhibitor results in hypertension, not hypotension. Combining St. John’s wort and an MAO inhibitor will not result in hyperkalemia.

Rationale 3: Combining St. John’s wort and an MAO inhibitor will lead to a hypertensive crisis. Combining St. John’s wort and an MAO inhibitor does not result in hyperglycemia. Combining St. John’s wort and an MAO inhibitor results in hypertension, not hypotension. Combining St. John’s wort and an MAO inhibitor will not result in hyperkalemia.

Rationale 4: Combining St. John’s wort and an MAO inhibitor will lead to a hypertensive crisis. Combining St. John’s wort and an MAO inhibitor does not result in hyperglycemia. Combining St. John’s wort and an MAO inhibitor results in hypertension, not hypotension. Combining St. John’s wort and an MAO inhibitor will not result in hyperkalemia.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-7

 

Question 11

Type: MCSA

The patient is being treated for a cardiac dysrhythmia with amiodarone (Cordarone). The patient has elevated liver function tests (LFTs). Which assessment finding would the nurse suspect as contributing to the elevated liver function tests LFTs?

  1. The patient was taking Kava-Kava for anxiety.
  2. The patient was taking Echinacea to treat cold symptoms.
  3. The patient was taking St. John’s wort for depression.
  4. The patient was taking gingko biloba for memory problems.

Correct Answer: 2

Rationale 1: Echinacea and amiodarone (Cardorone) can lead to hepatotoxicity. There isn’t any interaction between St. John’s wort and amiodarone (Cordarone). There isn’t any interaction between Kava and amiodarone (Cordarone). There isn’t any interaction between gingko biloba and amiodarone (Cordarone).

Rationale 2: Echinacea and amiodarone (Cardorone) can lead to hepatotoxicity. There isn’t any interaction between St. John’s wort and amiodarone (Cordarone). There isn’t any interaction between Kava and amiodarone (Cordarone). There isn’t any interaction between gingko biloba and amiodarone (Cordarone).

Rationale 3: Echinacea and amiodarone (Cardorone) can lead to hepatotoxicity. There isn’t any interaction between St. John’s wort and amiodarone (Cordarone). There isn’t any interaction between Kava and amiodarone (Cordarone). There isn’t any interaction between gingko biloba and amiodarone (Cordarone).

Rationale 4: Echinacea and amiodarone (Cardorone) can lead to hepatotoxicity. There isn’t any interaction between St. John’s wort and amiodarone (Cordarone). There isn’t any interaction between Kava and amiodarone (Cordarone). There isn’t any interaction between gingko biloba and amiodarone (Cordarone).

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10-7

 

Question 12

Type: MCSA

The nurse has been teaching a patient about herbal preparations and determines that additional teaching is required when the patient makes which statement?

  1. “I should check with you before using an herbal product.”
  2. “Herbal products usually contain only one active ingredient.”
  3. “I need to be careful about where I store my herbal product.”
  4. “Herbal preparations are available in solid and liquid forms.”

Correct Answer: 2

Rationale 1: Herbal products contain multiple active ingredients as opposed to prescription drugs, which contain only one active ingredient. Herbal preparations are available in solid and liquid forms. Patients should check with the nurse before using an herbal product. Where and how an herbal product is stored can affect its potency.

Rationale 2: Herbal products contain multiple active ingredients as opposed to prescription drugs, which contain only one active ingredient. Herbal preparations are available in solid and liquid forms. Patients should check with the nurse before using an herbal product. Where and how an herbal product is stored can affect its potency.

Rationale 3: Herbal products contain multiple active ingredients as opposed to prescription drugs, which contain only one active ingredient. Herbal preparations are available in solid and liquid forms. Patients should check with the nurse before using an herbal product. Where and how an herbal product is stored can affect its potency.

Rationale 4: Herbal products contain multiple active ingredients as opposed to prescription drugs, which contain only one active ingredient. Herbal preparations are available in solid and liquid forms. Patients should check with the nurse before using an herbal product. Where and how an herbal product is stored can affect its potency.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10-6

 

Question 13

Type: MCSA

The nurse prepares to teach patients about the safety and efficacy of herbal preparations. Which statement would be included in the best plan by the nurse?

  1. “Herbal preparations must be tested for safety and efficacy prior to marketing.”
  2. “The label on the herbal preparation is required by the Dietary Supplement Health and Education Act (DSHEA) to be accurate.”
  3. “Herbal preparations have to meet the same safety and efficacy standards as prescription and over-the-counter (OTC) drugs.”
  4. “The manufacturer does not have to prove the safety or efficacy of the herbal preparation.”

Correct Answer: 4

Rationale 1: Herbal products are not regulated by the Food and Drug Administration (FDA) for safety standards. They are regulated by a far less rigorous law, the Dietary Supplement Health and Education Act (DSHEA) of 1994, which does not require the manufacturer to demonstrate efficacy or safety of the herbal product. The federal government does not require herbal preparations to be tested for safety and efficacy prior to marketing. The Dietary Supplement Health and Education Act DSHEA does not regulate the accuracy of the label; the product may or may not contain the product listed, in the amounts claimed. Herbal preparations do not have to meet the same safety standards as prescription and over-the-counter (OTC) drugs.

Rationale 2: Herbal products are not regulated by the Food and Drug Administration (FDA) for safety standards. They are regulated by a far less rigorous law, the Dietary Supplement Health and Education Act (DSHEA) of 1994, which does not require the manufacturer to demonstrate efficacy or safety of the herbal product. The federal government does not require herbal preparations to be tested for safety and efficacy prior to marketing. The Dietary Supplement Health and Education Act DSHEA does not regulate the accuracy of the label; the product may or may not contain the product listed, in the amounts claimed. Herbal preparations do not have to meet the same safety standards as prescription and over-the-counter (OTC) drugs.

Rationale 3: Herbal products are not regulated by the Food and Drug Administration (FDA) for safety standards. They are regulated by a far less rigorous law, the Dietary Supplement Health and Education Act (DSHEA) of 1994, which does not require the manufacturer to demonstrate efficacy or safety of the herbal product. The federal government does not require herbal preparations to be tested for safety and efficacy prior to marketing. The Dietary Supplement Health and Education Act DSHEA does not regulate the accuracy of the label; the product may or may not contain the product listed, in the amounts claimed. Herbal preparations do not have to meet the same safety standards as prescription and over-the-counter (OTC) drugs.

Rationale 4: Herbal products are not regulated by the Food and Drug Administration (FDA) for safety standards. They are regulated by a far less rigorous law, the Dietary Supplement Health and Education Act (DSHEA) of 1994, which does not require the manufacturer to demonstrate efficacy or safety of the herbal product. The federal government does not require herbal preparations to be tested for safety and efficacy prior to marketing. The Dietary Supplement Health and Education Act DSHEA does not regulate the accuracy of the label; the product may or may not contain the product listed, in the amounts claimed. Herbal preparations do not have to meet the same safety standards as prescription and over-the-counter (OTC) drugs.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-8

 

Question 14

Type: MCSA

The patient takes several prescription medications and asks the nurse about using complementary and alternative medicine. What is the best reply by the nurse?

  1. “Complementary and alternative medicine (CAM) is a good idea that you should discuss with your doctor.”
  2. “Complementary and alternative medicine (CAM) is an approach that might reduce your need for medications.”
  3. “Complementary and alternative medicine (CAM) might help, but you will still need your medications.”
  4. “Complementary and alternative medicine (CAM) has not been demonstrated to help with your kind of symptoms.”

Correct Answer: 2

Rationale 1: From a pharmacology perspective, much of the value of complementary and alternative medicine (CAM) therapies lies in their ability to reduce the need for medications. Complementary and alternative medicine (CAM) has been demonstrated to alleviate many patient symptoms. Complementary and alternative medicine (CAM) often reduces the need for prescription medications. The nurse can answer the patient’s questions; they do not need to be referred to the physician.

Rationale 2: From a pharmacology perspective, much of the value of complementary and alternative medicine (CAM) therapies lies in their ability to reduce the need for medications. Complementary and alternative medicine (CAM) has been demonstrated to alleviate many patient symptoms. Complementary and alternative medicine (CAM) often reduces the need for prescription medications. The nurse can answer the patient’s questions; they do not need to be referred to the physician.

Rationale 3: From a pharmacology perspective, much of the value of complementary and alternative medicine (CAM) therapies lies in their ability to reduce the need for medications. Complementary and alternative medicine (CAM) has been demonstrated to alleviate many patient symptoms. Complementary and alternative medicine (CAM) often reduces the need for prescription medications. The nurse can answer the patient’s questions; they do not need to be referred to the physician.

Rationale 4: From a pharmacology perspective, much of the value of complementary and alternative medicine (CAM) therapies lies in their ability to reduce the need for medications. Complementary and alternative medicine (CAM) has been demonstrated to alleviate many patient symptoms. Complementary and alternative medicine (CAM) often reduces the need for prescription medications. The nurse can answer the patient’s questions; they do not need to be referred to the physician.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-1

 

Question 15

Type: MCSA

The patient is pregnant and 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?

  1. “It should be okay because your baby has been exposed to an antidepressant.”
  2. “St. John’s wort is a drug, and this should be discussed with your doctor.”
  3. “No, herbal preparations are just not safe to take during pregnancy.”
  4. “Yes, you can change, but let your doctor know at your next appointment.”

Correct Answer: 2

Rationale 1: All herbal preparations are drugs and their use should be discussed with the physician when a patient is pregnant. St. John’s wort is not okay because the baby has not been exposed to it specifically. It is not safe to tell a pregnant woman she can change antidepressants. Some herbal preparations may be safe during pregnancy, but this should be discussed between the patient and physician.

Rationale 2: All herbal preparations are drugs and their use should be discussed with the physician when a patient is pregnant. St. John’s wort is not okay because the baby has not been exposed to it specifically. It is not safe to tell a pregnant woman she can change antidepressants. Some herbal preparations may be safe during pregnancy, but this should be discussed between the patient and physician.

Rationale 3: All herbal preparations are drugs and their use should be discussed with the physician when a patient is pregnant. St. John’s wort is not okay because the baby has not been exposed to it specifically. It is not safe to tell a pregnant woman she can change antidepressants. Some herbal preparations may be safe during pregnancy, but this should be discussed between the patient and physician.

Rationale 4: All herbal preparations are drugs and their use should be discussed with the physician when a patient is pregnant. St. John’s wort is not okay because the baby has not been exposed to it specifically. It is not safe to tell a pregnant woman she can change antidepressants. Some herbal preparations may be safe during pregnancy, but this should be discussed between the patient and physician.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-5

 

Question 16

Type: MCSA

Which statement best describes the relationship of complementary and alternative therapies to pharmacology?

  1. They are more effective than medication use.
  2. They can reduce patient medication needs.
  3. They serve as competitors, and should not be promoted.
  4. They have little-to-no value in disease prevention and treatment.

Correct Answer: 2

Rationale 1: Complementary and alternative therapies can reduce patient medication needs and therefore lower the risk of adverse effects. They are not generally more effective than medications, but do have value in disease prevention and treatment. Both complementary/alternative therapies and pharmacology should be used together to provide holistic patient care.

Rationale 2: Complementary and alternative therapies can reduce patient medication needs and therefore lower the risk of adverse effects. They are not generally more effective than medications, but do have value in disease prevention and treatment. Both complementary/alternative therapies and pharmacology should be used together to provide holistic patient care.

Rationale 3: Complementary and alternative therapies can reduce patient medication needs and therefore lower the risk of adverse effects. They are not generally more effective than medications, but do have value in disease prevention and treatment. Both complementary/alternative therapies and pharmacology should be used together to provide holistic patient care.

Rationale 4: Complementary and alternative therapies can reduce patient medication needs and therefore lower the risk of adverse effects. They are not generally more effective than medications, but do have value in disease prevention and treatment. Both complementary/alternative therapies and pharmacology should be used together to provide holistic patient care.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 10-1

 

Question 17

Type: MCSA

Which of the following is a reason for the increase in popularity of herbal remedies?

  1. They are being marketed very aggressively.
  2. Most insurance policies cover them.
  3. They are more effective for treating bacterial infections.
  4. Their popularity is decreasing, not increasing.

Correct Answer: 1

Rationale 1: The popularity of herbs and alternative therapies has increased since the 1970s due to several factors, including aggressive marketing. They are not more effective than antibiotics for treating bacterial infections, and are generally not covered under insurance policies.

Rationale 2: The popularity of herbs and alternative therapies has increased since the 1970s due to several factors, including aggressive marketing. They are not more effective than antibiotics for treating bacterial infections, and are generally not covered under insurance policies.

Rationale 3: The popularity of herbs and alternative therapies has increased since the 1970s due to several factors, including aggressive marketing. They are not more effective than antibiotics for treating bacterial infections, and are generally not covered under insurance policies.

Rationale 4: The popularity of herbs and alternative therapies has increased since the 1970s due to several factors, including aggressive marketing. They are not more effective than antibiotics for treating bacterial infections, and are generally not covered under insurance policies.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10-2

 

Question 18

Type: MCSA

The active ingredients of herbs

  1. can be found in all parts of the herb.
  2. are found only in the root system.
  3. are found only in the rhizome.
  4. are found only in the stems and leaves.

Correct Answer: 1

Rationale 1: The active ingredients of herbs can be found in all of their parts.

Rationale 2: The active ingredients of herbs can be found in all of their parts.

Rationale 3: The active ingredients of herbs can be found in all of their parts.

Rationale 4: The active ingredients of herbs can be found in all of their parts.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-3

 

Question 19

Type: MCSA

Which statement is accurate regarding the Dietary Supplement Health and Education Act (DSHEA) of 1994?

  1. It ensures that herbal products provide proof of their intended effects.
  2. It mandates that herbal product labels state that the products are not intended to diagnose, treat, cure, or prevent disease.
  3. It mandates that herbal product labels contain accurate information.
  4. It requires that herbal products undergo the same rigorous testing as drugs do under the FDA.

Correct Answer: 2

Rationale 1: The DSHEA does not require herbal products to conform to the same standards the FDA requires of drugs. It does require that herbal product labels state that they are not intended to diagnose, treat, cure, or prevent disease.

Rationale 2: The DSHEA does not require herbal products to conform to the same standards the FDA requires of drugs. It does require that herbal product labels state that they are not intended to diagnose, treat, cure, or prevent disease.

Rationale 3: The DSHEA does not require herbal products to conform to the same standards the FDA requires of drugs. It does require that herbal product labels state that they are not intended to diagnose, treat, cure, or prevent disease.

Rationale 4: The DSHEA does not require herbal products to conform to the same standards the FDA requires of drugs. It does require that herbal product labels state that they are not intended to diagnose, treat, cure, or prevent disease.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-4

 

Question 20

Type: MCSA

Which of the following herbal products would be of most concern if taken by a patient being treated for seizures?

  1. Feverfew
  2. Goldenseal
  3. Ginger
  4. Ginkgo

Correct Answer: 4

Rationale 1: Of the listed herbs, ginkgo has the greatest potential for decreasing the effects of anticonvulsants.

Rationale 2: Of the listed herbs, ginkgo has the greatest potential for decreasing the effects of anticonvulsants.

Rationale 3: Of the listed herbs, ginkgo has the greatest potential for decreasing the effects of anticonvulsants.

Rationale 4: Of the listed herbs, ginkgo has the greatest potential for decreasing the effects of anticonvulsants.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 10-5

 

Question 21

Type: MCSA

The nurse knows that one of the more common complications resulting from drug–herbal interactions would involve

  1. hair growth.
  2. urine output.
  3. vision loss.
  4. blood coagulation.

Correct Answer: 4

Rationale 1: Many herbal products increase bleeding potential and reduce the effects of anticoagulant drugs. Hair growth, urine output, and vision loss might be seen, but are not common.

Rationale 2: Many herbal products increase bleeding potential and reduce the effects of anticoagulant drugs. Hair growth, urine output, and vision loss might be seen, but are not common.

Rationale 3: Many herbal products increase bleeding potential and reduce the effects of anticoagulant drugs. Hair growth, urine output, and vision loss might be seen, but are not common.

Rationale 4: Many herbal products increase bleeding potential and reduce the effects of anticoagulant drugs. Hair growth, urine output, and vision loss might be seen, but are not common.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 10-7

 

Question 22

Type: MCSA

Specialty supplements differ from herbal products in that

  1. specialty supplements must be prescribed.
  2. herbal products are more specific in their actions.
  3. specialty supplements are generally targeted for more general conditions.
  4. specialty supplements can come from animal sources.

Correct Answer: 4

Rationale 1: Specialty supplements can come from animal and plant sources. They are generally more specific than herbs, and targeted for a number of conditions. Prescriptions are not required.

Rationale 2: Specialty supplements can come from animal and plant sources. They are generally more specific than herbs, and targeted for a number of conditions. Prescriptions are not required.

Rationale 3: Specialty supplements can come from animal and plant sources. They are generally more specific than herbs, and targeted for a number of conditions. Prescriptions are not required.

Rationale 4: Specialty supplements can come from animal and plant sources. They are generally more specific than herbs, and targeted for a number of conditions. Prescriptions are not required.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10-6

 

Question 23

Type: MCMA

A patient experiencing occasional minor digestive problems asks the nurse about herbal therapy. Which herbs would the nurse recommend?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Tumeric
  2. Green tea
  3. Ginger
  4. Grape seed
  5. Stevia

Correct Answer: 1,2,3

Rationale 1: Tumeric is used to reduce indigestion and dyspepsia.

Rationale 2: Green tea is used to decrease nausea and vomiting.

Rationale 3: Ginger is used to decrease nausea.

Rationale 4: Grape seed is an antioxidant.

Rationale 5: Stevia is a natural sweetener.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-6

 

Question 24

Type: MCMA

A postmenopausal patient with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The patient asks about nonpharmacologic ways to manage her symptoms. Which herbs does the nurse suggest as alternatives?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Soy
  2. Black cohosh
  3. Evening primrose
  4. Saw palmetto
  5. Acai

Correct Answer: 1,2,3

Rationale 1: Soy is used to alleviate postmenopausal symptoms.

Rationale 2: Black cohosh is used to alleviate postmenopausal symptoms.

Rationale 3: Evening primrose is used to alleviate postmenopausal symptoms.

Rationale 4: Saw palmetto is used to decrease prostate hyperplasia.

Rationale 5: Acai is used as an antioxidant and for weight loss.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-6

 

Question 25

Type: MCMA

A patient with a family history of heart disease asks the nurse to recommend herbs that decrease the risk for heart disease. The nurse suggests the patient discuss which herbs with the health care provider?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Flaxseed
  2. Green tea
  3. Soy
  4. Milk thistle
  5. Acai

Correct Answer: 1,2,3

Rationale 1: Flaxseed is believed to reduce the risk of heart disease.

Rationale 2: Green tea is believed to increase LDL and cholesterol, which may reduce the risk for heart disease.

Rationale 3: Soy is believed to help prevent cardiovascular disease.

Rationale 4: Milk thistle is believed to be an antitoxin.

Rationale 5: Acai is an antioxidant.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-6

 

Question 26

Type: MCMA

A patient with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs. The nurse suggests the patient discuss the efficacy of which herbs with the health care provider?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Tumeric
  2. St. John’s wort
  3. Ginger
  4. Ginseng
  5. Bilberry

Correct Answer: 1,2,3

Rationale 1: Tumeric is used to reduce inflammation.

Rationale 2: St. John’s wort is believed to reduce inflammation.

Rationale 3: Ginger is thought to reduce inflammation.

Rationale 4: Ginseng is used to enhance the immune system.

Rationale 5: Bilberry is an antioxidant.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-6

 

Question 27

Type: MCMA

A patient 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

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. include their contact information on the label so consumers can report adverse effects.
  2. notify the Food and Drug Administration (FDA) within 15 days of receiving a report of an adverse effect.
  3. keep records of adverse effects for at least 6 years and make these records available for inspection by the Food and Drug Administration (FDA).
  4. demonstrate product effectiveness prior to release of the product to the public.
  5. state which conditions the product is intended to cure or prevent.

Correct Answer: 1,2,3

Rationale 1: This legislation requires that the marketing company’s contact information be listed on the label.

Rationale 2: The marketing company must notify the FDA of any reported adverse effects within 15 days.

Rationale 3: The marketing company must keep records of reported adverse effects for at least 6 years and make those records available to the FDA for inspection.

Rationale 4: The marketing company is not required to demonstrate the effectiveness of a product prior to release to the public.

Rationale 5: The marketing company cannot make the claim that a product can cure or prevent any conditions.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-4

 

Question 28

Type: MCMA

The nurse is teaching patients in a senior center about complementary and alternative therapies. Which statement by a patient indicates understanding of the information the nurse has presented?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. “I see now that Â?natural’ doesn’t really mean Â?safe,’ and I should ask my health care provider about any supplements I want to take.”
  2. “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.”
  3. “I understand now that when I choose to use a natural product over a prescription medication, I could be delaying my recovery.”
  4. “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.”
  5. “I’m allergic to many foods. It’s good to know that because herbal products are natural, I don’t have to worry about an allergic reaction.”

Correct Answer: 1,2,3

Rationale 1: Many herbal products are not standardized and may contain dozens of active chemicals, many of which have not been identified and studied, making these products potentially unsafe.

Rationale 2: Some herbs contain active chemicals that are just as powerful as approved prescription medications.

Rationale 3: Any time a patient chooses to use an unproven alternative therapy instead of an established, effective medical treatment, healing may be delayed.

Rationale 4: Herbs may or may not be a safe option. The active ingredients can cause interactions with other prescribed drugs.

Rationale 5: It is not unusual for an herbal supplement to contain dozens of chemicals from the flowers, leaves, or roots of the plant. Patients who have food allergies should consult with their health provider before using any herbal product.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-6

 

 

Adams Pharmacology for Nurses: 4th Edition Test Bank – Adams

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