Question 1

The nurse is asked by a patient in the clinic if she should purchase an expensive brand-name multivitamin because the cheaper vitamin is not as good.Which would be the nurse's response to this patient?

A) "Expensive is always better with any product you buy."
B) "All vitamins are the same over the counter."
C) "Costs and manufacturers' claims don't mean proven effectiveness."
D) "The cost is determined by the color and the amount of pills in the container."

"Costs and manufacturers' claims don't mean proven effectiveness."

Accepted Answer

The costs for some products are high because of the claims made about their effectiveness,but not all such claims for vitamins and minerals have been proven.

Question 2

The Dietary Supplement Health and Education Act passed by Congress in 1994 addresses which issues with OTC dietary supplements? (Select all that apply.)&#10;A) Disease claims&#10;B) Functional cure&#10;C) Preventions&#10;D) Toxicities&#10;E) Treatments

Accepted Answer

Manufacturers must now use the following statement in their labeling: "This product is not intended to diagnose,treat,cure,or prevent any disease."

Question 3

A patient asks the nurse if synthetic vitamins are better than natural vitamins.Which is the best response?&#10;A) Synthetic vitamins cost more than natural vitamins.&#10;B) Synthetic vitamins are better dissolved.&#10;C) Synthetic vitamins have questionable safety records.&#10;D) Synthetic vitamins must be taken in larger amounts.

Accepted Answer

The most important differences are that some synthetic preparations have been shown to dissolve better than others or contain the products in amounts that increase the absorption of the vitamins.

Question 4

The nurse is evaluating the patient's understanding of how to decrease the risk of developing heart disease.Which would be the correct response made by the patient to the nurse?&#10;A) &#34;I will take a daily dose of folic acid and vitamins B6 and B12.&#34;&#10;B) &#34;I will take folic acid every other day.&#34;&#10;C) &#34;I will take calcium supplements daily with meals.&#34;&#10;D) &#34;There are currently no vitamins or minerals available to decrease my risk of developing heart disease.&#34;

Accepted Answer

Folic acid and vitamins B₆ and B₁₂ have been shown to reduce homocysteine levels.Modestly elevated homocysteine levels in the blood are a risk factor for heart disease.

Question 5

Which ingredient is often hidden in cough and cold syrups?&#10;A) Potassium&#10;B) Alcohol&#10;C) Steroids&#10;D) Benzocaine

Accepted Answer

One of the most important considerations in reading OTC product labels is to notice the hidden chemicals (used for various purposes)in the products.Consumers who have allergies or intolerance to these products must be aware of the risk and should read the labels.

Question 6

Glucosamine is an herbal product used for persons with which condition?&#10;A) Severe headaches&#10;B) Menstrual cramping&#10;C) Joint pain&#10;D) Gastric discomfort

Accepted Answer

Glucosamine is used to ease aches and pains and protect and rebuild cartilage.

Question 7

Which herbs,although considered generally safe and effective (in recommended dosages)by non-U.S.regulatory authorities,should be avoided in patients also taking aspirin,ibuprofen,or warfarin? (Select all that apply.)

A) Garlic
B) Ginkgo
C) Goldenseal
D) Feverfew
E) Flaxseed

Accepted Answer

Garlic,ginkgo,and feverfew all inhibit platelet aggregation and therefore could increase the risk of bleeding when taken concomitantly with NSAIDs like aspirin and ibuprofen,or with the blood thinner warfarin (Coumadin).Patients should be cautioned accordingly.Patients should make sure their doctors know they are taking these herbal products before having surgery or general anesthesia due to the increased risk of intraoperative bleeding.

Question 8

Which supplement should the nurse recommend 0.4 mg per day of to help prevent fetal neural tube defects in a woman of childbearing age?&#10;A) Vitamin B6&#10;B) Calcium&#10;C) Iron&#10;D) Folic acid

Accepted Answer

The U.S.Public Health Service has issued an official recommendation that "all women of childbearing age in the United States who are capable of becoming pregnant should consume 0.4 mg of folic acid per day for the purpose of reducing their risk of having a pregnancy affected with spina bifida or other neural tube defects."

Question 9

A patient with Alzheimer disease was started on medication for this condition,and the physician suggested that he should also take over-the-counter ginkgo.Which is the best explanation of this product offered by the nurse?

A) Improves blood flow to the brain and extremities
B) Stops hot flashes and night sweats
C) Decreases gas formation in the stomach
D) Improves bowel movements

Accepted Answer

Ginkgo is an option in patients with Alzheimer disease who are also receiving medical care.It improves blood flow to the brain and extremities and reduces capillary fragility.

Question 10

Which herb is considered unsafe?&#10;A) Rose hips&#10;B) Goldenseal&#10;C) Royal jelly&#10;D) Ginkgo

Accepted Answer

Royal jelly is used for insomnia and liver ailments.It can produce a serious to fatal allergic reaction; therefore,it is considered unsafe.

Question 11

The nurse is discussing with a patient the key points about taking an over-the-counter (OTC)medication.The nurse should include which information?&#10;A) &#34;The medicine will maintain its potency for 3 months after the expiration date.&#34;&#10;B) &#34;Take the medicine until it is finished.&#34;&#10;C) &#34;If symptoms persist, stop treating yourself and see your doctor.&#34;&#10;D) &#34;Adjust the dosage to your specific needs.&#34;

Accepted Answer

The answer of The nurse is discussing with a patient...

Question 12

A patient tells the nurse that she is taking St.John's wort and asks the nurse's opinion on herbal products.The nurse knows that this medication has not been tested for its effectiveness and that the patient is most likely taking it for which condition?

A) Depression
B) Diarrhea
C) High blood cholesterol
D) Cold symptoms

Accepted Answer

The answer of A patient tells the nurse that she...

Question 13

Iron supplements are used in the treatment of which condition?&#10;A) Anemia&#10;B) Osteoporosis&#10;C) Esophageal reflux&#10;D) Constipation

Accepted Answer

The answer of Iron supplements are used in the treatment...

Question 14

Which are the effects of calcium on the body? (Select all that apply.)&#10;A) Large doses of calcium will not harm the body when taken on a full stomach.&#10;B) Calcium can limit the absorption of iron and other trace elements.&#10;C) Calcium can cause constipation and reduce kidney function.&#10;D) Calcium may prevent bone loss in older men.&#10;E) Calcium can reduce kidney function.

Accepted Answer

The answer of Which are the effects of calcium on...

Question 15

Which over-the-counter supplement would the nurse recommend for a postmenopausal woman?&#10;A) Selenium&#10;B) Calcium&#10;C) Vitamin C&#10;D) Folic acid

Accepted Answer

The answer of Which over-the-counter supplement would the nurse recommend...

Question 16

A patient with chronic respiratory disease tells the nurse that he has been using aromatherapy for the past 6 months.Which is the best response from the nurse?&#10;A) &#34;The aromatherapy can react with your inhalers. Please stop.&#34;&#10;B) &#34;What do you believe this will accomplish for you?&#34;&#10;C) &#34;There is no research that supports the effects of aromatherapy.&#34;&#10;D) &#34;Do not swallow the oils, and keep them away from your eyes.&#34;

Accepted Answer

The answer of A patient with chronic respiratory disease tells...

Question 17

Which type of medicine is not regulated by the Food and Drug Administration?&#10;A) Opioids&#10;B) Hormones&#10;C) Vitamins&#10;D) Herbal therapy

Accepted Answer

The answer of Which type of medicine is not regulated...

Question 18

A patient asks the nurse what the difference is between an OTC sleeping product and a sleeping pill prescribed by a physician.Which is the best response?&#10;A) &#34;The OTC sleeping product is safer.&#34;&#10;B) &#34;The OTC sleeping product is commonly used.&#34;&#10;C) &#34;The OTC sleeping product is easy to swallow.&#34;&#10;D) &#34;The OTC sleeping product has smaller tablets.&#34;

Accepted Answer

The answer of A patient asks the nurse what the...

Question 19

During a nurse's assessment of a clinic patient,the patient asks if it is important to read OTC medication instructions.Which represents the nurse's best answer?&#10;A) &#34;It's all right if you don't read the instructions, because the drugs are safer.&#34;&#10;B) &#34;Chemicals in the product might pose a risk.&#34;&#10;C) &#34;There isn't much for you to read on these OTC product labels.&#34;&#10;D) &#34;Reading isn't important if the product is purchased from a pharmacy.&#34;

Accepted Answer

The answer of During a nurse's assessment of a clinic...

Question 20

Antioxidants are popular among the nutritional supplements.Which vitamins are considered antioxidants? (Select all that apply.)&#10;A) Vitamins B12, B6, and B4&#10;B) Vitamin E&#10;C) Beta carotene&#10;D) Ascorbic acid&#10;E) Vitamin A

Accepted Answer

The answer of Antioxidants are popular among the nutritional supplements.Which...

Question 21

During an assessment,the nurse is collecting information on a patient's medication history.Why should the nurse assess the patient's use of over-the-counter (OTC)drugs? (Select all that apply.)&#10;A) To determine the cost the patient spends on medications monthly&#10;B) OTC drugs may make existing medical problems worse&#10;C) To assess for potential unsafe interactions with prescribed medications&#10;D) Patients often neglect to tell their providers about OTC products&#10;E) To assess if the patient and his or her spouse has any common medications

Accepted Answer

The answer of During an assessment,the nurse is collecting information...

Deck 6: Self-Care: Over-the-Counter Products,Herbal Therapies,and Drugs for Health Promotion