Question 1

A client experiencing occasional minor digestive problems asks the nurse about herbal therapy. Which herbs would the nurse recommend? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client experiencing occasional minor digestive problems...

Question 2

A client is admitted with abnormal liver enzymes. Included in the client's medication list are amiodarone and echinacea. Which nursing action takes the highest priority?

Accepted Answer

Amiodarone is known to cause liver toxicity, and echinacea has been associated with liver damage. Therefore, it is important to notify the healthcare provider and discuss the possibility of discontinuing or changing these medications to prevent further liver damage. Palpating for hepatomegaly would provide additional data but is not as high of a priority as notifying the healthcare provider. A liver biopsy may be considered later, but it is not the initial priority in this situation. Documenting the findings is also important but is not as high of a priority as notifying the healthcare provider.

Question 3

The discharge nurse gives a list of dangerous herb-drug interactions to a new diabetic client prescribed oral hypoglycemic drugs. Which herbs should be included on this list? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The discharge nurse gives a list of...

Question 4

A client with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs. Which herbs might be selected by the client's health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client with inflammatory arthritis asks about...

Question 5

Which pharmacologic information does the nurse share with the client who is intending to collect plants for herbal therapy?

Accepted Answer

The active chemicals in plants can potentially be found in any part of the plant, including the roots, leaves, stems, and flowers. It is important to do research and confirm which part of the plant is medicinal and safe for use. Choice A is incorrect because not all active chemicals are found in the roots. Choice C is incorrect because many herbal plants contain multiple active chemicals. Choice D is incorrect because the strength of the active chemicals can vary depending on factors such as growing conditions and harvesting methods.

Question 6

A client interested in herbal therapies expresses concern that they could be dangerous. The nurse explains that herbal products are regulated by the Natural Health Products Regulations of the Food and Drugs Act in Canada. What is a major strength of this legislation?

Accepted Answer

The major strength of the Natural Health Products Regulations is that the NNHPD is responsible for adverse event reporting and quality control, ensuring that herbal products are safe for public use. While manufacturers are required to provide evidence of product safety, they are not required to prove efficacy. Additionally, herbal products may not be tested prior to manufacturing, but they are subject to post-market surveillance.

Question 7

The nurse is teaching a wellness class and has noticed that many of the participants are asking about the use of herbal supplements. Which factor could this be related to?

Accepted Answer

Aggressive marketing tactics by the herbal industry may be contributing to the increase in interest and use of herbal supplements among these wellness class participants.

Question 8

A client with Parkinson disease is admitted to the emergency department with increased tremors and muscle rigidity. Which herb would the nurse expect to find on the client's medication list?

Accepted Answer

The answer of A client with Parkinson disease is admitted...

Question 9

The nurse is advising a client about the proper use of herbal and dietary supplements. What is the responsibility of the nurse in recommending herbal products?

Accepted Answer

As a healthcare professional, the nurse should have knowledge of the latest medical information on herbal products, including interactions and side effects, in order to advise the client properly. It is important for the nurse to provide objective information and help the client make an informed decision about their use of herbal products.

Question 10

A client is making herbal preparations using herbs from her garden. How does she prepare a tincture to add to her water intake?.

Accepted Answer

The best way to make a tincture is by soaking the herb in alcohol to produce a concentrated liquid in alcohol. This method helps to extract the active ingredients from the herb and preserve them for longer periods.

Question 11

A male client states that he has been using the herbal product saw palmetto. Which assessment finding would indicate that the product is helpful?

Accepted Answer

Saw palmetto is commonly used for urinary symptoms related to an enlarged prostate gland. Difficulty initiating urination is one of the common symptoms relieved by saw palmetto.

Question 12

A client expresses interest in growing herbs to make tea that may help her sleep. She discloses to the nurse that she doesn't know what part of the plant to use. What information does the nurse provide the client?

Accepted Answer

The part of the plant that is appropriate for harvesting depends on the specific herb. It could be the leaves, stems, flowers, or rhizomes. Therefore, the nurse should inform the client that it depends on the specific herb she wishes to use.

Question 13

When teaching a class on herbal supplements, a client asks the nurse what criteria must be met for licensing of natural health products in Canada. Which response by the nurse is most accurate?

Accepted Answer

In Canada, natural health products must be relatively safe at recommended dosages to be licensed.

Question 14

A client receiving warfarin (Coumadin) therapy is also using the herb feverfew. What does the nurse assesses for?

Accepted Answer

Feverfew has antiplatelet properties which can increase the risk of bleeding, especially when used with anticoagulants like warfarin. The nurse should assess the client for signs and symptoms of bleeding, such as easy bruising, petechiae, prolonged bleeding from cuts, and black or tarry stools. Renal dysfunction and liver toxicity are not directly associated with feverfew use. Increased coagulation is not a concern with the use of feverfew.

Question 15

A client is taking warfarin (Coumadin) after experiencing a stroke. Which herbs must the nurse caution the client to avoid? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client is taking warfarin (Coumadin) after...

Question 16

A client with a history of depression is taking cyclosporine to prevent organ rejection. However, recent tests indicate the medication is losing effectiveness. The nurse should ask if the client is taking which herbal supplement?

Accepted Answer

St. John's wort is a commonly used herbal supplement for depression, but it has been shown to interact with cyclosporine and decrease its effectiveness. Therefore, it is important for the nurse to ask the client if they are taking St. John's wort and encourage them to discontinue its use or consult with their healthcare provider. Flaxseed, saw palmetto, and black cohosh are not known to interact with cyclosporine.

Question 17

The nurse obtains information during the admission interview that a client is taking herbal supplements. What implications does the nurse share with the client regarding natural health products.

Accepted Answer

The nurse should inform the client that natural health products, specifically herbal supplements, could interact with prescribed medications and affect their action. It is important for healthcare providers to be aware of all substances a client is consuming in order to prevent adverse reactions and provide safe and effective care.

Question 18

A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The client asks about other ways to manage her symptoms. Which herbs would be appropriate for the nurse to recommend to this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A postmenopausal client with a history of...

Question 19

The nurse in a long-term care facility begins giving clients evening massages. Using complementary and alternative medicine (CAM) in this manner would have which pharmacologic benefit for the clients?

Accepted Answer

Massages have been shown to have a calming effect and reduce anxiety, which may result in a decreased need for antianxiety medication.

Quiz 3: Professional, Personal and Cultural Influences on Pharmacology

A client experiencing occasional minor digestive problems asks the nurse about herbal therapy. Which herbs would the nurse recommend? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.