Question 1

A pregnant woman tells the nurse that she is taking ginger to reduce morning sickness.What will the nurse tell this patient?&#10;A)&#34;Ginger can cause fetal birth defects.&#34;&#10;B)&#34;Ginger is not safe during pregnancy.&#34;&#10;C)&#34;Ginger can cause abortion in low doses.&#34;&#10;D)&#34;Ginger may be taken in low doses for up to 4 days.&#34;

Accepted Answer

Ginger may be taken during pregnancy for morning sickness,but only on a short-term,low-dose basis.There is no indication that it causes fetal birth defects.Ginger is an abortifacient in large amounts.

Question 2

A patient asks the nurse about the safety of herbal products in general.Which response by the nurse is correct?&#10;A)&#34;Consumers should research products and their manufacturers before taking.&#34;&#10;B)&#34;Manufacturers are required to list interactions of herbs with drugs and food.&#34;&#10;C)&#34;Products manufactured for drug and grocery store chains are safe.&#34;&#10;D)&#34;Toxicological analysis is required of all commercial herbal products.&#34;

Accepted Answer

There are no comprehensive regulations of herbal supplements regarding safety and efficacy,so consumers should research herbs and product manufacturers.Companies manufacturing for drug and grocery stores are suspect and do not always list all ingredients on their labels.

Question 3

A patient is taking valerian,or &#34;herbal valium,&#34; to induce sleep.What will the nurse teach this patient about this herb?&#10;A)Habituation and addiction are likely.&#10;B)Hangover effects are common with usual doses.&#10;C)Liver function tests must be monitored with long-term use.&#10;D)Valerian has a high risk for overdose.

Accepted Answer

Liver function tests must be monitored with long-term use,and valerian should be discontinued if these are elevated.Habituation and addiction are rare.Hangover effects occur with high doses.There is no increased risk for overdose.

Question 4

A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe.The nurse will respond by saying that herbs&#10;A)are classified as medications by the Dietary Supplement Health and Education Act of 1994.&#10;B)are regulated by the government and are determined to be safe.&#10;C)aren't usually effective but are generally harmless.&#10;D)should be discussed with the patient's provider in conjunction with other medications.

Accepted Answer

Herbs are sometimes useful but can also be useless or dangerous.There are two types of monographs under development to compile information about these substances,but there are no agencies that regulate safety and efficacy.Patients should always tell providers if they are taking any herbal remedies since there are known drug-herbal interactions and side effects.

Question 5

A woman reports using aloe vera to treat constipation.Which response by the nurse is correct?&#10;A)&#34;Aloe vera is for external use only.&#34;&#10;B)&#34;Please tell me if you are taking cardiac medications or diuretics.&#34;&#10;C)&#34;Side effects of aloe vera are common.&#34;&#10;D)&#34;You may experience a decrease in menstrual flow while taking aloe vera.&#34;

Accepted Answer

Patients taking aloe vera should consult with their provider if taking cardiac medications or diuretics.It is for internal and external use.Side effects are rare except with long-term use or in large doses.Aloe vera can increase menstrual flow.

Question 6

Which herbal remedies are often used for gastrointestinal disorders? (Select all that apply. )&#10;A)Chamomile&#10;B)Cranberry&#10;C)Dong quai&#10;D)Echinacea&#10;E)Ginger&#10;F)Peppermint

Accepted Answer

Chamomile,ginger,and peppermint are often used to treat gastrointestinal disorders.

Question 7

A man is diagnosed with benign prostatic hypertrophy and wants to avoid surgery.He asks the nurse about using saw palmetto.What information will the nurse include when teaching this patient about this herb?

A)"Gastric disturbances are common while using this herb."
B)"Saw palmetto may help treat erectile dysfunction (ED)as well."
C)"Use saw palmetto for up to 30 days and stop taking it when effects occur."
D)"You should stop taking the herb 1 to 2 weeks prior to prostate-specific antigen (PSA)testing."

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Accepted Answer

Saw palmetto can cause a false-negative test result for PSA,so patients should stop taking it 1 to 2 weeks prior to this test.GI effects are rare.It is not effective in treating ED.Effects usually don't occur until 30 days,and it may be taken long term.

Question 8

Which information can consumers expect to be included in labeling of herbal products?&#10;A)Actions and uses&#10;B)Interactions and precautions&#10;C)Scientific name of the product&#10;D)Safety and efficacy study results

Accepted Answer

Manufacturers should list the scientific name of the product and the parts of the plant used in preparation.They are not required to list actions,uses,interactions,precautions,and any results of safety or efficacy studies.

Question 9

A patient asks the nurse about an herbal supplement and reports that it has a USP seal of approval.The nurse explains that this indicates&#10;A)identity,potency,purity,and labeling accuracy.&#10;B)premarket testing for safety and efficacy.&#10;C)structure and function claims may be made.&#10;D)the supplement's ability to prevent and treat disease.

Accepted Answer

The USP "seal of approval" is a fee-based test and reports on identity,potency,purity,and labeling accuracy.It does not indicate premarket research on safety and accuracy,does not allow manufacturers to make claims about the function of the products,and does not indicate the substance's ability to prevent and treat disease.

Question 10

A patient who has HIV asks the nurse about taking echinacea to improve immune function.What will the nurse tell this patient?&#10;A)&#34;The root extract is useful for treating upper respiratory and urinary tract infections.&#34;&#10;B)&#34;This use is currently being studied in patients who have HIV.&#34;&#10;C)&#34;Use it as needed when antibiotics fail to treat your infections.&#34;&#10;D)&#34;You may use it safely up to 8 weeks at a time as a preventive medication.&#34;

Accepted Answer

The use of echinacea to stimulate the immune system of patients with HIV is being investigated,but its use is currently not recommended.

Question 11

A woman who is experiencing hot flashes associated with menopause asks the nurse about using black cohosh.Which response by the nurse is correct?&#10;A)&#34;Black cohosh may be used long term in place of hormone replacement therapy.&#34;&#10;B)&#34;Black cohosh may contribute to iron toxicity.&#34;&#10;C)&#34;Black cohosh may interact with antihypertensive drugs.&#34;&#10;D)&#34;Black cohosh treats menopausal symptoms without altering hormone levels.&#34;

Accepted Answer

The answer of A woman who is experiencing hot flashes...

Question 12

The spouse of a patient who is an alcoholic asks the nurse about dietary supplements that may help prevent liver disease.Which herb will the nurse suggest the patient discuss with a provider who has prescriptive authority?

A)Ginkgo biloba
B)Kava
C)Milk thistle
D)Sage

Accepted Answer

The answer of The spouse of a patient who is...

Question 13

The nurse is providing preoperative education to a patient who will have surgery in several weeks.The patient denies taking anticoagulant medications but reports using herbal supplements.Which herb would cause the nurse to be concerned?

A)Echinacea
B)Ginkgo biloba
C)Kava
D)Sage

Accepted Answer

The answer of The nurse is providing preoperative education to...

Question 14

A patient reports taking St.John's wort to treat symptoms of depression and asks the nurse how to use this product safely and effectively.Which response by the nurse is correct?&#10;A)&#34;Apply sunscreen while taking St.John's wort.&#34;&#10;B)&#34;It is safe to take St.John's wort with prescription antidepressants.&#34;&#10;C)&#34;St.John's wort does not affect nutrition.&#34;&#10;D)&#34;You should take St.John's wort as needed when symptoms occur.&#34;

Accepted Answer

The answer of A patient reports taking St.John's wort to...

Question 15

The nurse provides counseling to a patient who reports taking kava to treat anxiety-related symptoms.Which statement by the patient indicates understanding of the teaching?&#10;A)&#34;I may take kava with lorazepam (Ativan).&#34;&#10;B)&#34;I may develop a serious skin disorder while taking kava.&#34;&#10;C)&#34;I should avoid alcohol while taking kava.&#34;&#10;D)&#34;I should avoid St.John's wort and valerian while taking kava.&#34;

Accepted Answer

The answer of The nurse provides counseling to a patient...

Question 16

The nurse is counseling a female patient who reports taking feverfew to treat premenstrual syndrome and migraines.Which statement by the patient indicates understanding of the teaching?&#10;A)&#34;I should experience immediate effects with this herb.&#34;&#10;B)&#34;I should not take feverfew if I get pregnant.&#34;&#10;C)&#34;I should take feverfew with nonsteroidal anti-inflammatory drugs (NSAIDs)to enhance its effects.&#34;&#10;D)&#34;If I develop gastrointestinal (GI)upset,I should stop taking feverfew immediately.&#34;

Accepted Answer

The answer of The nurse is counseling a female patient...

Deck 6: Herbal Therapies