Question 1

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

Accepted Answer

The FDA does not regulate herbal medications but protects consumers from misleading health claims by the herbal industry.

Question 2

Which of the following herbs 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 3

Which of the following ingredients 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 4

To help prevent fetal neural tube defects in a woman of childbearing age,the nurse will recommend 0.4 mg per day of which of the following?&#10;A) Vitamin B&#8326;&#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 5

A patient asks the nurse what the difference is between an OTC sleeping product and a sleeping pill prescribed by a physician.Which of the following 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

There is a wider margin of safety with OTC products because most of these drugs undergo extensive testing before being marketed and many have been changed by the manufacturer based on information gathered after years of OTC usage by consumers.

Question 6

Which of the following 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

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 7

A patient asks the nurse if synthetic vitamins are better than natural vitamins.Which of the following 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 8

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 of the following 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."

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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 9

Which of the following over-the-counter supplements 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 current advice is for people over the age of 50 to consume at least 1200 mg of calcium daily.Dietary sources should be considered first.Teach the patient how to increase the calcium in her diet.

Question 10

The nurse is discussing with a patient the key points about taking an over-the-counter (OTC)medication.The nurse should include which of the following 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

There are some basic facts health care providers should tell patients about OTC products.In particular,if they do not get well,they should stop treating themselves and talk with a health care professional.Also,the health care professional must be aware of all over-the-counter meds being taken because of the dangers of interaction.

Question 11

A patient with chronic respiratory disease tells the nurse that he has been using aromatherapy for the past 6 months.Which of the following 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 12

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

Accepted Answer

The answer of The Dietary Supplement Health and Education Act...

Question 13

Iron supplements are used in the treatment of which of the following conditions?&#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

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

Accepted Answer

The answer of Glucosamine is an herbal product used for...

Question 15

Antioxidants are popular among the nutritional supplements.Vitamins that are considered antioxidants include which of the following? (Select all that apply. )&#10;A) Vitamins B&#8321;&#8322;,B&#8326;,and B&#8324;&#10;B) Vitamin E&#10;C) Beta carotene&#10;D) Ascorbic acid

Accepted Answer

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

Question 16

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 of the following conditions?

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

Accepted Answer

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

Question 17

During a nurse's assessment of a clinic patient,the patient asks if it is important to read OTC medication instructions.Which of the following represents the nurse's 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 18

An Alzheimer disease patient was started on medication for this condition,and the physician also suggested that he should take over-the-counter ginkgo.The nurse explains to the patient that this product will do which of the following?

A) Improve blood flow to the extremities.
B) Stop hot flashes and night sweats.
C) Decrease gas formation in the stomach.
D) Improve bowel movements.

Accepted Answer

The answer of An Alzheimer disease patient was started on...

Question 19

Effects of calcium on the body include which of the following? (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.

Accepted Answer

The answer of Effects of calcium on the body include...

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