NCLEX-RN® Review

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Chapter 11

NCLEX-RN® Review

This activity contains 10 questions.

The nurse recognizes the major advantage of complementary and alternative medicine (CAM) for clients is:

	Lower cost.
	Reducing the need for medications.
	Greater accessibility.
	Fewer side effects.

The nurse should caution the client who plans to collect plants to use for herbal therapy to gain knowledge about which properties of plant formulations?

	Leaves and berries are poisonous.
	The active chemicals are found in the roots only.
	The active chemicals could be in one part or all parts of the plant.
	Collecting plants while they are flowering will inactivate the desired chemicals.

A client interested in using herbal therapy expresses concern that they could be dangerous. The nurse explains that herbal products are regulated by the Dietary Supplement Health and Education Act of 1994, and that a major benefit of this act is that it includes:

	A requirement for herbal products to be tested prior to manufacturing.
	A requirement that manufacturers must prove the efficacy of each product.
	The power of the FDA to remove from the market a product that poses a threat to the public.
	A requirement of the manufacturer to prove the product is safe for the general public.

The nurse obtains information during the admission interview that the client is taking herbal supplements. What implications does this information have for the client's treatment?

	This is not important, as herbal products are natural, and pose no risk to the client.
	These products are a welcome adjunct to conventional treatment.
	The nurse must observe the client for allergic reactions.
	The herbal products could interact with prescribed medications and affect drug action.

When providing teaching for a client who is planning to use herbal products, the nurse should include what information?

	Take the smallest amount possible when starting herbal therapy to determine if allergies or other adverse effects occur.
	Do not take herbal products for more than 2-3 weeks.
	Research the clinical trials before using the products.
	Read the label to determine which diseases or disorders the product has been proven to treat or cure.

The client states he has been using the herbal product saw palmetto. The nurse determines the product is helpful when the client reports:

	The ability to fall asleep quickly.
	Less difficulty initiating urination.
	A decrease in the frequency of headaches.
	Less burning and pain with urination.

A client receiving warfarin (Coumadin) therapy reports use of the herb feverfew. The nurse observes the client for evidence of:

	Liver toxicity.
	Increased coagulation.
	Renal dysfunction.
	Increased bleeding potential.

The client receiving a theophylline drug states he is taking Saint John's wort. Nursing assessment should include:

	The neurological status for excitability.
	The respiratory status for increased respiratory distress.
	Signs of sedation.
	Vital signs for hypotension.

The nurse explains that the benefits of adding dietary supplements to the treatment plan for older adults include: (Select all that apply.)

	Prevention of Alzheimer's disease.
	Providing an inexpensive alternative to traditional medicines.
	Possible prevention of nutritional deficits.
	Protection of the older adult from side effects of prescribed drugs.
	Potential increased levels of folate.

The client asks the nurse to explain the term decoction as it relates to one of the herbal products she is using. The nurse explains a decoction is:

	Fresh or dried herbs soaked in hot water for 5-10 minutes before ingestion.
	An extraction of active ingredients using alcohol by soaking the herb, with alcohol remaining as part of the liquid.
	An extraction of active ingredients using organic solvents to form a highly concentrated liquid or solid form. The solvent may be removed or may be part of the final product.
	Fresh or dried herbs boiled in water for 30-60 minutes until much of the liquid has boiled off, leaving a very concentrated liquid.

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