Deck 48: Herbal and Dietary Supplement Therapy

Question 1

Which symptom(s) would be consistent with a paradoxical response associated with melatonin use? (Select all that apply.)

A)Drowsiness
B)Agitation
C)Insomnia
D)Poor concentration
E)Jet lag

Answer 1

Agitation
Insomnia

Question 2

Aloe gel for topical use has been marketed to treat which conditions? (Select all that apply.)

A)Sunburn
B)Psoriasis
C)Migraine headaches
D)Pain and inflammation
E)Itching

Answer 2

Sunburn
Psoriasis
Pain and inflammation
Itching

Question 3

Which is a therapeutic effect of valerian?

A)Lower high-density lipoproteins (HDLs) and raise low-density lipoprotein (LDLs)
B)Prevent infection
C)Promote relaxation and sleep
D)Elevate mood

Answer 3

Promote relaxation and sleep

Question 4

A patient diagnosed with diabetes, hypertension, chronic obstructive pulmonary disease, and angina reports to the nurse that she is taking an aloe juice drink to treat constipation.When assessing this patient for adverse interactions, the nurse will prioritize:

A)pulse rate.
B)blood pressure.
C)lung sounds.
D)blood glucose monitoring.

Question 5

A high school male athlete reports that he is taking creatine supplements to enhance his athletic performance and bulk up his muscles.Which important teaching point(s) and/or recommendation(s) should be made for this supplement? (Select all that apply.)

A)Adverse effects may include muscle cramping, dehydration, GI bloating, and diarrhea.
B)Inform the health care provider of usage, should future nephrotoxic medicines be prescribed.
C)It is important to limit fluid.
D)Creatine causes a weight gain of 3 to 6 lb because of water retention.
E)Recommended dosage is 5 to 6 g four times daily for 5 to 7 days, followed by doses of 2 g/day.

Question 6

Which dietary supplement should be used with extreme caution if the patient is on a platelet inhibitor?

A)Aloe
B)Ephedra
C)Green tea
D)Garlic

Question 7

What is St.John's wort used to treat?

A)Rheumatoid arthritis
B)Asthma
C)Depression
D)Viral infections

Question 8

A patient calls inquiring about herbal treatment of hypercholesterolemia and other nonpharmaceutical measures to lower his cholesterol level.Which important concept(s) should be included in the response to this patient? (Select all that apply.)

A)Maintain daily dose of black cohosh.
B)Drink one to four cups of green tea daily.
C)Ingest one fresh clove of garlic daily.
D)Maintain daily aspirin dose.
E)Avoid concurrent use of garlic with ginkgo, ginger, feverfew, and ginseng.

Question 9

What is black cohosh used for?

A)Preventing miscarriage during the first trimester
B)Reducing symptoms of premenstrual syndrome
C)Providing antispasmodic activity of the gastrointestinal (GI) system
D)Controlling migraine headaches

Question 10

Which herb is used to stimulate the innate immune system?

A)Aloe
B)Echinacea
C)Chamomile
D)Ginger

Question 11

The use of which medication would alert the nurse to educate the patient about using ginkgo biloba cautiously?

A)Antiemetics
B)Anti inflammatories
C)Anticoagulants
D)Antibiotics

Question 12

Which herbal medicine may improve a patient's short term memory loss and cognitive function?

A)Ginger
B)Green tea
C)Feverfew
D)Ginkgo biloba extract

Question 13

Which effect(s) can be attributed to green tea? (Select all that apply.)

A)Lower cholesterol
B)Lower triglycerides and LDLs
C)Raise HDLs
D)Lower blood glucose
E)Preventing calcium loss
F)Preventing viral infection

Question 14

The nurse is caring for a 36 year old male patient newly diagnosed with multiple sclerosis (MS).The patient asks if he can continue to take echinacea to help boost his immune system.The nurse's best response is:

A)"Limit use to no more than 8 weeks at a time"
B)"Echinacea use is not recommended for patients with autoimmune diseases"
C)"What other medications are you taking?"
D)"That is a decision that you will need to make independently"

Question 15

Which statement about dietary supplements is true?

A)Dietary supplements are considered safe and effective.
B)Dietary supplements have not been tested for safety or efficacy.
C)There are no serious adverse effects to taking dietary supplements.
D)Dietary supplements have full FDA and USP approval.

Question 16

The nurse at a health care clinic is educating a patient regarding the use of the supplement ginseng.What information should be conveyed by the nurse? (Select all that apply.)

A)Research has confirmed that ginseng increases the body's resistance to stress.
B)Ginseng is available in tablet form.
C)Insomnia can result from ginseng intake.
D)Ginseng is an aphrodisiac.
E)Ginseng may affect blood coagulation.