Nokea
Following antibiotic treatment, a client has developed diarrhea. Which is an appropriate complementary treatment for this client?
- A. Prebiotic
- B. Ethnobotanical
- C. Probiotic
- D. Peppermint oil
Correct Answer: C
Rationale: Probiotics are microorganisms that exert beneficial health effects, such as Lactobacillus acidophilus and Bifidobacterium infantis, which can lower the frequency or duration of diarrhea. Prebiotics include nondigestible food ingredients such as dietary fiber that enhance or maintain the growth of probiotic intestinal bacteria. Peppermint, a botanical oil, is helpful in decreasing nausea. Ethnobotanicals are plants that grow in a region where specific groups of people live and are used for food, clothing, shelter, and medicine.
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A client is taking ginkgo to improve memory. In the teaching plan regarding this herb, the nurse should include which of the following?
- A. It may raise blood pressure.
- B. Avoid this herb if allergic to plants.
- C. There is a possible sensitivity to light.
- D. Use caution if taking aspirin.
Correct Answer: D
Rationale: Clients should be advised to use caution if taking aspirin in conjunction with gingko. Ginseng may raise blood pressure. Clients allergic to plants in the daisy family should avoid echinacea. Taking St. John's wort may cause sensitivity to light.
A client with fibromyalgia is using magnets as a form of complementary treatment. Which rationale given by the nurse best explains the physiologic principle of this technique?
- A. Free flow of energy
- B. Stimulates the release of endorphins
- C. A means of therapeutic touch
- D. No therapeutic effects with this technique
Correct Answer: B
Rationale: Static magnet therapy can be used to affect the cell membrane and stimulate the release of endorphins. No scientific basis is available to support this effect, but people continue to claim benefits if nothing other than placebo effect. Free flow of energy refers to acupuncture, whereas therapeutic touch is associated with Reiki therapy.
Which key information can the nurse provide to the client regarding the health-related benefits of herbals and botanicals? Select all that apply.
- A. Certain herbs can interact with prescription drugs.
- B. No one should take herbs while acutely ill.
- C. Herbs can mimic disease symptoms.
- D. Not all herbs are safe.
- E. Herbs are regulated by the U.S. Food and Drug Administration.
- F. Only natural herbs are safe.
Correct Answer: A,D
Rationale: Herbal therapy is one of the greatest risk factors for adverse effects when combined with other conventional drugs. Some herbs have been placed on the 'unsafe' list due to known impurities and adverse effects, even though all herbs are considered natural. Herbs can be used to treat some acute illnesses. Herbal therapy is not regulated by the FDA.
A client with stage II cancer has opted to use reflexology and herbal therapy for treatment. The nurse understands this treatment falls under which modality?
- A. Cultural competence
- B. Complementary therapy
- C. Integrative therapy
- D. Alternative therapy
Correct Answer: D
Rationale: The use of reflexology and herbs is considered alternative therapy when not used in conjunction with conventional medicine. Integrative therapy would combine alternative, complementary, and conventional medicine. Cultural competence is a nurse's ability to understand the client's worldview as well as the nurse's own and how these worldviews affect nursing care.
A client is seen in the clinic regarding chronic lower back pain. The client asks the nurse if treatment by a chiropractor might alleviate some of the client's discomfort. What information should the nurse include in the response?
- A. This type of complementary therapy applies pressure to the feet and hands not the back.
- B. This type of therapy applies force to a specific area to improve circulation and relieve discomfort.
- C. Chiropractors manipulate the spine as a method for curing neuromuscular disorders.
- D. Chiropractors work by channeling universal energy to relieve a client's discomfort.
Correct Answer: C
Rationale: According to chiropractic theory, misalignment of the spinal vertebrae changes activities of nerves that control body functions in distant organs. This may lead to diseases. Spinal manipulation treats the disorders by correcting the alignment of the vertebrae. Chiropractic therapy treats not only the feet and hands but also the back. Massage improves circulation, but this is not the main job of the chiropractor. Channeling universal energy happens in Reiki, not with a chiropractor.