Deck 13: The Use of Herbs and Supplements in Late Life

Question 1

The profile of a usual herbal supplement client resembles:

A) inner city,lower socioeconomic status,female.
B) white,highly educated with higher income level.
C) third generation,middle income,Hispanic American.
D) men and women from small rural communities.

Answer 1

white,highly educated with higher income level.

Question 2

Herbal supplements are manufactured in all but one of these forms:

A) tincture.
B) salves.
C) extracts.
D) intravenous.

Answer 2

intravenous.

Question 3

A 78-year-old patient is scheduled for a right knee replacement.He has a history of osteoarthritis.His medication list at home includes Tylenol 650 mg four times a day for arthritic pain.He reports that he also takes gingko 80 mg twice a day,a multivitamin tablet daily,and glucosamine chondroitin 500 mg three times per day.He states that he takes the gingko so that he will not develop dementia like his father,and the glucosamine for the arthritic pain.What should be included in preoperative teaching for the patient?

A) He needs to refrain from taking glucosamine chondroitin for 1 to 2 weeks before surgery because of the potential for increased sedation with anesthetics.
B) He needs to refrain from taking gingko for 2 weeks before surgery due to the potential for increased bleeding.
C) He needs to refrain from taking Tylenol for 24 to 48 hours before surgery due to the potential for increased bleeding.
D) He needs to refrain from taking gingko for 1 week before surgery due to the potential for an allergic reaction during surgery.

Answer 3

He needs to refrain from taking gingko for 2 weeks before surgery due to the potential for increased bleeding.

Question 4

A patient is admitted to a medical nursing unit.On his admission interview,he tells the nurse that he takes ginkgo biloba daily.As a nurse,you understand that this herbal supplement can cause:

A) depression with paranoia.
B) gastrointestinal (GI)upset and headache.
C) impotence and sterility.
D) pneumonia and bronchitis.

Question 5

An 88-year-old woman is being seen for the first time at the outpatient geriatric clinic.When the nurse completes her nursing admission history,she asks the patient about her medication list.She inquires about the use of herbs and other supplements as well as prescription medications.The reason for this inquiry is that herbs and supplements:

A) may interact with prescription medications.
B) are hazardous when used by older adults.
C) replace the need for prescription medications.
D) cause excessive sedation in older adults