Nokea
A woman taking St. John's wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks. What instruction should the nurse provide?
- A. The herbs are not likely to cause any problems during the surgery.
- B. The St. John's wort must be stopped prior to surgery, but she can continue the ginseng.
- C. The ginseng should be stopped 1 week before surgery.
- D. She should discontinue taking both herbs 2 weeks before surgery.
Correct Answer: D
Rationale: Both St. John's wort and ginseng can interfere with anesthesia and bleeding, requiring discontinuation 2 weeks before surgery.
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A young mother asks, 'Is there an alternative medicine for children with asthma?' Which form of alternative medicine would be the most helpful for the nurse to suggest?
- A. Reflexology
- B. Rolfing
- C. Guided imagery
- D. Acupressure
Correct Answer: C
Rationale: Guided imagery can help manage asthma symptoms by promoting relaxation and reducing stress-induced exacerbations.
A patient is providing history information to the admitting nurse about treatment used for chronic pain. The patient reports she participates in a type of relaxation therapy that enables her to recognize tension in the muscles via responses on an electronic machine and visual electromyography responses. What type of therapy does the nurse record on admission record?
- A. Guided imagery
- B. Biofeedback
- C. Hypnotherapy
- D. Chiropractic care
Correct Answer: B
Rationale: Biofeedback uses electronic monitoring to help patients recognize and control muscle tension for pain management.
Which herbal remedy used by a patient taking warfarin should the nurse report to the physician?
- A. Angelica (dong quai)
- B. Chamomile
- C. Ginseng
- D. Kava-kava
Correct Answer: A
Rationale: Angelica (dong quai) can enhance warfarin's anticoagulant effects, increasing bleeding risk, and should be reported.
The pregnant patient with a stasis ulcer asks if she might be a candidate for hyperbaric oxygen therapy (HBOT). What is the nurse's best response?
- A. Yes. Hyperbaric oxygen therapy should have no harmful effect on your baby.'
- B. No. High amounts of oxygen in your system will cause changes in your baby's heart.'
- C. Yes. Hyperbaric oxygen therapy is a much better option than using antibiotics.'
- D. No. Hyperbaric oxygen therapy may cause the placenta to separate from the uterine wall.'
Correct Answer: B
Rationale: HBOT can cause closure of the fetal ductus arteriosus due to high oxygen levels, posing a risk to the fetus.
A pregnant woman tells the nurse that she got relief from nausea when she had a therapy that involves pressure and massage on meridian sites. What type of therapy does this describe?
- A. Acupuncture
- B. Acupressure
- C. Aromatherapy
- D. Ayurveda
Correct Answer: B
Rationale: Acupressure involves finger pressure and massage on meridian sites, effective for nausea during pregnancy.