Nokea
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.
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A parent asks the nurse, 'What is guided imagery?' Which statement is the most accurate response?
- A. It is a technique where the patient focuses on an image to relieve stress.'
- B. It involves using water to promote relaxation.'
- C. The patient enters a hypnotic state of sleep to promote relaxation.'
- D. It helps the patient recognize tension in the muscles with responses on an electronic machine.'
Correct Answer: A
Rationale: Guided imagery involves focusing on a specific image to reduce stress and improve well-being.
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.
The mother of a pediatric patient asks the nurse about safety concerns with using herbal supplements with children. Which herbal products would the nurse educate this mother are safe to use in most of the pediatric population?
- A. Ephedra
- B. Ginger
- C. Fish oil
- D. Chamomile
- E. Aloe vera
Correct Answer: B,C,D,E
Rationale: Ginger, fish oil, chamomile, and aloe vera are generally safe for children, while ephedra can be harmful.
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 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.