Nokea
A patient with persistent headaches seeks treatment from a nurse trained in therapeutic touch (TT). Which of the following will the nurse perform during the TT session?
- A. Realign the patient's energy flow
- B. Manipulate muscles and soft tissues.
- C. Apply pressure to body points where energy is obstructed.
- D. Passively move stressed joints through the range of motion.
Correct Answer: A
Rationale: Therapeutic touch involves the use of the practitioner's hands to realign the patient's energy flow. The other responses describe other complementary and alternative therapies (CATs) such as massage, chiropractic therapy, and acuppressure.
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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.
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.
Which of the following information should the nurse include when discussing the use of herbal remedies with a patient who uses a variety of herbs for health maintenance?
- A. Herbs should be purchased only from manufacturers with a history of quality control.
- B. Most herbs are toxic and carcinogenic and should be used only when proven effective.
- C. Herbs are no better than conventional drugs in maintaining health and may be less safe.
- D. Frequent medical evaluation is required during the use of herbs to avoid adverse effects.
Correct Answer: A
Rationale: The quality of herb preparations can vary, so it is important that patients purchase herbal remedies from reputable manufacturers. When appropriately used, herbs are generally safe and have fewer adverse effects than conventional medications.
Which of the following information obtained by the nurse when admitting a patient with osteoarthritis may indicate a need for patient teaching?
- A. The patient obtains information about herbal therapies online
- B. The patient takes glucosamine daily to prevent knee and hip pain.
- C. The patient attends a weekly yoga class to improve flexibility and balance.
- D. The patient states that prayer helps to improve the knee pain and function.
Correct Answer: A
Rationale: Online information sources are not always reliable and the patient may need some teaching about safe use of herbal remedies. The other information given by the patient indicates appropriate use of complementary and alternative therapies.
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.