Question 1

The top-selling herbal supplements in the U.S.include all of the following except:

Accepted Answer

Kava kava is not among the top-selling herbal supplements in the U.S. due to concerns about its safety and potential liver toxicity, which have limited its popularity compared to the other options listed.

Question 2

What would a patient consuming an average of 5,000 mg of sodium daily while on lithium therapy be at risk of?

Accepted Answer

A high sodium intake can lead to increased excretion of lithium in the urine, potentially reducing its effectiveness and leading to subtherapeutic levels.

Question 3

Patients taking warfarin should aim to have a consistent _____ intake from day to day.

Accepted Answer

Warfarin works by inhibiting vitamin K-dependent clotting factors. Therefore, patients should maintain a consistent intake of vitamin K to avoid fluctuations in their INR levels, which could affect the effectiveness and safety of the medication.

Question 4

Mrs.Appleton has been diagnosed with depression and her physician has prescribed a monoamine oxidase inhibitor.He instructs her to avoid consuming large amounts of tyramine.All of the following foods should be restricted on Mrs.Appleton's diet except

Accepted Answer

The answer of Mrs.Appleton has been diagnosed with depression and...

Question 5

Most health care professionals need to learn more about

Accepted Answer

Complementary therapies are often less emphasized in traditional medical education, so health care professionals may need additional training to integrate these approaches effectively.

Question 6

Mrs.Appleton has been diagnosed with depression and her physician has prescribed a monoamine oxidase inhibitor.Why does the physician instruct her to avoid consuming large amounts of tyramine?

Accepted Answer

Monoamine oxidase inhibitors (MAOIs) prevent the breakdown of tyramine, leading to increased levels of norepinephrine, which can cause hypertensive crisis.

Question 7

Samantha is providing her patient with education regarding warfarin.She encourages her patient to:

Accepted Answer

Maintaining a consistent intake of green leafy vegetables, which are high in vitamin K, helps keep warfarin levels stable and effective.

Question 8

In order to limit the risks of drug-related side effects, the most important step health care professionals can take is to know

Accepted Answer

Knowing what and how much medications and supplements a client is taking helps healthcare professionals assess potential drug interactions and side effects, allowing them to manage and mitigate risks effectively.

Question 9

Consumers rarely find _____ listed on supplement labels.

Accepted Answer

Adverse effects of herbs are rarely listed on supplement labels, leaving consumers unaware of potential negative reactions or interactions with other medications.

Question 10

The most common adverse effects of herbs include which of the following?

Accepted Answer

Diarrhea, nausea, and vomiting are common adverse effects associated with the use of various herbs, as they can irritate the gastrointestinal tract.

Question 11

Which statement about dietary supplements is false?.

Accepted Answer

The statement that the effective compounds in all common herbal remedies have been identified is false. Many herbal remedies have not been fully studied, and their active compounds are not always known.

Question 12

With enough research and experience to support its use, _____ may become _____.

Accepted Answer

Complementary therapy, which is used alongside conventional treatments, may become conventional therapy itself if sufficient research and experience validate its effectiveness.

Question 13

Altered excretion of potassium, magnesium, and calcium are side effects associated with the use of

Accepted Answer

Diuretics are medications used to increase urine output and remove excess fluid from the body. They work by altering the excretion of electrolytes such as potassium, magnesium, and calcium. This can lead to imbalances in these electrolytes and potentially cause side effects such as muscle weakness, arrhythmias, and bone disorders. Narcotics, antihypertensives, and laxatives do not typically affect electrolyte excretion to the same extent as diuretics.

Question 14

Which of these is not a safety concern regarding the use of herbal products?

Accepted Answer

Excessive time spent discussing herbal products with a healthcare provider is not a safety concern related to the use of the products themselves, unlike contamination, adulteration, or plant substitution.

Question 15

Which governmental agency is currently funding large, controlled studies of several herbal treatments in order to obtain reliable efficacy and safety data?

Accepted Answer

The National Center for Complementary and Alternative Medicine (NCCAM), now known as the National Center for Complementary and Integrative Health (NCCIH), is the agency responsible for funding research on complementary and alternative medicine, including herbal treatments, to determine their efficacy and safety.

Question 16

Ms.Holmes is taking an MAO inhibitor.She is at the food court and needs to pick the best meal.Which should she choose?

Accepted Answer

MAO inhibitors require avoiding foods high in tyramine, such as aged cheeses and cured meats. The chicken salad sandwich is less likely to contain high levels of tyramine compared to the other options.

Question 17

Which type of fruit juice is known to contain compounds that cause multiple food-drug interactions?

Accepted Answer

Grapefruit juice contains compounds that inhibit enzymes responsible for metabolizing many medications, leading to increased drug levels and potential adverse effects.

Question 18

Which of the following statements is false?

Accepted Answer

Vitamin A does not have a known interaction with warfarin, whereas vitamin K, garlic, and other substances can affect warfarin's efficacy.

Question 19

Physicians who refer patients for complementary therapies while continuing to provide standard treatments are practicing what is known as:

Accepted Answer

Integrative medicine involves combining standard medical treatments with complementary therapies to address the patient's needs comprehensively.

Question 20

St.John's wort is commonly taken by consumers who wish to

Accepted Answer

St. John's wort is primarily used for its potential antidepressant and anxiolytic effects.

Quiz 19: Medications, Diet-Drug Interactions, and Herbal Products