Nokea
The nurse is concerned when the prothrombin time (PT) for a client receiving warfarin is fluctuating beyond normal range. The client also takes several herbal supplements. The nurse suspects which supplement to be the cause of this elevation?
- A. Garlic
- B. Saw palmetto
- C. Kava
- D. Capsicum
Correct Answer: A
Rationale: Combining garlic with other anticoagulants can prolong bleeding. Saw palmetto is used to treat enlarged prostate and has no effects on bleeding. Kava is used to treat anxiety and stress and does not affect bleeding. Capsicum is used to relieve neuralgic and bladder pain, and as an antipruritic for psoriasis.
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In which of the following therapies is it believed that the practitioner gathers knowledge about the disease and its cure from a higher power?
- A. Herbal therapy
- B. Ayurveda
- C. Native American/First Nations system
- D. Chinese medicine
Correct Answer: C
Rationale: In the Native American/First Nations system of medicine, the shaman or medicine man or woman goes into a trance and communicates with a higher power to gather knowledge about the disease and its remedy. Herbal therapy uses herbs with medicinal value, and Ayurveda and Chinese medicine do not involve shamans and such spiritual practices.
A client with multiple sclerosis (MS) reports an improvement of symptoms after apitherapy. The nurse knows that apitherapy falls under which category of treatment?
- A. Mind-body medicine
- B. Natural products
- C. Manipulative and body-based therapies
- D. Energy medicine
Correct Answer: B
Rationale: Apitherapy is the medicinal use of bee venom and falls under the category of natural products. Mind-body, manipulative, and energy medicine are categories of complementary and alternative therapies but do not include apitherapy.
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.
Which of the following is an important benefit of incorporating laughter therapeutically?
- A. Increases cortisol levels
- B. Increases the number of white blood cells
- C. Blocks the release of endorphins
- D. Suppresses the immune system
Correct Answer: B
Rationale: Laughter stimulates the immune system by increasing the number of white blood cells and lowering cortisol, which suppresses immune function.
A client is suffering from stress and tension of the neck and muscles. What manipulative therapy can the nurse suggest that will apply pressure and movement to soft tissues?
- A. Chiropractic
- B. Shiatsu
- C. Massage therapy
- D. Yoga
Correct Answer: C
Rationale: Massage therapy involves applying pressure and movement to stretch and knead soft body tissues. Chiropractic theory proposes that subluxation (misalignment) of the spinal vertebrae alters nerve activities that regulate body functions in distant organs. Shiatsu is similar to acupressure and acupuncture. Yoga does not involve applying pressure to soft tissues.