Nokea
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.
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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 has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. Which of the following should the nurse discuss with this patient?
- A. Green tea
- B. Acupuncture
- C. Black cohosh
- D. Chiropractic therapy
Correct Answer: B
Rationale: Acupuncture is helpful in chemotherapy-induced nausea. The other therapies are not recommended to treat nausea.
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 terms is used to describe the study of health as related to a connection between a deity and the human body?
- A. Distant healing
- B. Petitionary prayer
- C. Theosomatic medicine
- D. Spiritual healing
Correct Answer: C
Rationale: The term theosomatic medicine has been developed to describe the study of health as related to an apparent connection between a deity and the human body. In exploring this connection, religious involvement has been found to be generally associated with lower levels of illness and higher levels of wellness. Petitionary prayer involves making a request for specific needs to be met. Distant healing, mental healing, and spiritual healing are used to study the outcomes of prayer.
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.