Question 1

Which herb listed below is used to treat cirrhosis and chronic hepatitis?&#10;A) Ginkgo biloba&#10;B) Kava&#10;C) Milk thistle&#10;D) Sage

Accepted Answer

Milk thistle is the herb commonly used to treat cirrhosis and chronic hepatitis. Its active ingredient, silymarin, is known for its liver-protective properties and has been shown to reduce liver damage in people with liver disease.

Question 2

A woman who is experiencing symptoms of heart failure asks the nurse about using hawthorn. Which response by the nurse is correct?&#10;A) &#34;Hawthorn may be used long term in conjunction with nitrates.&#34;&#10;B) &#34;Hawthorn may contribute to hypertension.&#34;&#10;C) &#34;Hawthorn may interact with antihypertensive drugs.&#34;&#10;D) &#34;Hawthorn treats heart failure by lowering potassium levels.&#34;

Accepted Answer

Hawthorn may interact with antihypertensive drugs, so it is important for the woman to consult with her healthcare provider before using it. Option A is incorrect because hawthorn is not typically used in conjunction with nitrates. Option B is incorrect because hawthorn may actually have a slight hypotensive effect. Option D is incorrect because hawthorn does not lower potassium levels.

Question 3

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 proven to be effective in treating upper respiratory and urinary tract infections.&#34;&#10;B) &#34;Research regarding the benefits of Echinacea is inconclusive.&#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

Research on the benefits of Echinacea is inconclusive, and there is no clear evidence to support its use in improving immune function in patients with HIV. It is important to advise the patient to discuss any supplements or alternative therapies with their healthcare provider before using them.

Question 4

A woman reports using ginseng to treat menopausal symptoms. Which response by the nurse is correct?&#10;A) &#34;Ginseng will inhibit your immune system.&#34;&#10;B) &#34;Ginseng can increase risk of hypoglycemia if taken with diabetes medications.&#34;&#10;C) &#34;Side effects of ginseng are common.&#34;&#10;D) &#34;You may experience a decrease in blood pressure while taking ginseng.&#34;

Accepted Answer

Ginseng can interact with diabetes medications and increase the risk of hypoglycemia. It does not inhibit the immune system or commonly cause side effects such as decreased blood pressure.

Question 5

The nurse is counseling a female patient who reports taking ginger to treat postoperative nausea. 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;Potential side effects include gas, bloating, and heartburn.&#34;&#10;C) &#34;I should take ginger with nonsteroidal anti-inflammatory drugs (NSAIDs) to enhance its effects.&#34;&#10;D) &#34;If I develop gastrointestinal (GI) upset, I should stop taking ginger immediately.&#34;

Accepted Answer

This statement indicates that the patient understands the potential side effects of ginger, which include gas, bloating, and heartburn. The other statements are incorrect: immediate effects may not occur with herbal remedies, it is not recommended to take ginger with NSAIDs, and stopping ginger immediately may not be necessary for mild GI upset.

Question 6

A patient asks the nurse about an herbal supplement and reports that it has a United States Pharmacopeia (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 indicates that the herbal supplement has undergone testing for identity, potency, purity, and labeling accuracy. It does not indicate premarket testing for safety and efficacy, permission to make structure and function claims, or the supplement's ability to prevent and treat disease.

Question 7

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

The answer of Which information can consumers expect to be...

Question 8

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 about increased bleeding risk when used with blood thinners?

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

Accepted Answer

Ginkgo biloba is known to increase bleeding risk, particularly when used with anticoagulant medications. Therefore, it is important for the nurse to be aware of this potential interaction and ensure the patient informs their healthcare provider of any supplement use.

Question 9

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 absolutely safe to take St. John's wort with prescription antidepressants.&#34;&#10;C) &#34;St. John's wort only interacts with antidepressant medications.&#34;&#10;D) &#34;You should take St. John's wort as needed when symptoms occur.&#34;

Accepted Answer

St. John's wort can cause photosensitivity, which increases the risk of sunburn and skin damage, so it is important to apply sunscreen while taking this product. Option B is incorrect because St. John's wort may interact with prescription antidepressants and cause serious side effects, such as serotonin syndrome. Option C is also incorrect because St. John's wort may interact with a variety of medications, including birth control pills, blood thinners, and others. Option D is incorrect because St. John's wort should be taken according to the recommended dosage and schedule, rather than as needed.

Question 10

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 herbal products:&#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

Herbal products are not regulated by the government and, therefore, their safety and effectiveness are not guaranteed. The nurse should advise the patient to discuss their use of herbal products with their healthcare provider, especially if they are taking other medications as the herbal products may interact with them. The nurse should also encourage the patient to provide a full list of all the herbal products they are taking to their healthcare provider.

Question 11

The nurse provides counseling to a patient who reports taking licorice root to treat a stomach ulcer. Which statement by the patient indicates understanding of the teaching?&#10;A) &#34;I may take licorice root with prednisone.&#34;&#10;B) &#34;I may develop hypotension while taking licorice root.&#34;&#10;C) &#34;I should avoid licorice root when pregnant.&#34;&#10;D) &#34;I should try licorice instead of coming back to see the provider.&#34;

Accepted Answer

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

Question 12

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 for the short-term treatment of nausea associated with pregnancy.&#34;

Accepted Answer

The answer of A pregnant woman tells the nurse that...

Question 13

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

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

Deck 5: Complementary and Alternative Therapies