Nokea
A patient who uses multiple herbal products is scheduled to undergo knee replacement surgery. The nurse informs the patient that herbs that should be discontinued at least 2-3 weeks before surgery include which of the following?
- A. Garlic
- B. Ginger
- C. Feverfew
- D. Echinacea
- E. Ginkgo biloba
Correct Answer: A,B,C,E
Rationale: Feverfew, ginger, garlic, and ginkgo biloba all prolong bleeding time and should be discontinued before surgery. Echinacea is usually safe to continue.
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Which of the following actions if implemented by the nurse indicates that further education about complementary and alternative therapy is required?
- A. Massaging the legs of a patient who has a left foot stasis ulcer
- B. Assessing a capillary blood glucose level for a patient taking aloe
- C. Recommending the use of acuppressure to a patient with tension headaches
- D. Teaching family members how to provide a hand massage to a patient
Correct Answer: A
Rationale: Massage should not be done for a patient with open wounds. The other actions by the new nurse are appropriate.
The nurse is caring for a patient who is experiencing extreme postoperative nausea. Which of the following therapies should the nurse recommend for this patient?
- A. Acupuncture
- B. Aromatherapy
- C. St. John's wort
- D. Magnetic therapy
Correct Answer: A
Rationale: Acupuncture may be useful in the treatment of postoperative nausea. The other therapies are not used to treat postoperative nausea.
A patient who develops frequent upper respiratory infections (URIs) asks the nurse whether any herbal therapies might help. Which of the following should the nurse discuss with this patient?
- A. Ginger
- B. Echinacea
- C. Ginkgo biloba
- D. St. John's wort
Correct Answer: B
Rationale: Echinacea may have some benefit in reducing the incidence and duration of the common cold. Ginkgo biloba, ginger, and St. John's wort are useful for other conditions, but they would not be helpful for this patient.
Which of the following data obtained by the nurse during the pre-operative assessment of a patient requires further assessment?
- A. The patient uses several herbal remedies routinely.
- B. The patient recently visited a chiropractor for back pain.
- C. The patient has used acuppressure to relieve postoperative nausea in the past.
- D. The patient expresses a wish to use acupuncture for postoperative pain control.
Correct Answer: A
Rationale: Many herbs prolong bleeding time, so further assessment of the types of herbs that are used and how recently they were used is needed before the patient has surgery. The other information given by the patient also requires further assessment but will not affect the timing of the patient's surgery.
Which of these complementary and alternative therapies should the nurse suggest to a patient who has elevated triglyceride levels?
- A. Fish oil
- B. Milk thistle
- C. Saw palmetto
- D. Ginkgo biloba
Correct Answer: A
Rationale: There is evidence that fish oil is helpful in treating hypertriglyceridemia. The other therapies will not be helpful for this patient.