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NURS 317 Exam 1 D2L Questions With Correct Answers.
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NURS 317 Exam 1 D2L Questions With Correct Answers.
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NURS 317 Exam 1 D2L Questions WithCorrect Answers.
A client reports to the nurse that he is taking dietary and herbal supplements to help
lower his cholesterol levels. Which supplements should the nurse expect the client to
mention during health assessment? (Select all that apply.)
a. Cranberry
b. Echinacea
c. Flaxseed oil
d. Garlic
e. Green tea - ANSWER- Answer: c. Flaxseed oil; d. Garlic; e. Green tea
Objective: Identify common specialty supplements taken by patients.
Rationale: Herbal supplements that may be used to reduce blood cholesterol levels
include flaxseed oil, garlic, and green tea. Cranberry is used to prevent urinary tract
infections. Echinacea is associated with enhancement of the immune system.
The nurse is providing staff education about the benefits of adding dietary supplements
to the treatment plan for clients. Which information is accurate? (Select all that apply.)
a. Amino acids can promote muscle strength and endurance.
b. Dietary supplements are an inexpensive alternative to traditional medicines.
c. Glucosamine can help preserve cartilage around the joints.
d. Dietary supplements protect older adults from side effects of prescribed drugs.
e. Supplements are used to target general health conditions. - ANSWER- Answer: a.
Amino acids can promote muscle strength and endurance; c. Glucosamine can help
preserve cartilage around the joints.
Objective: Discuss the role of the nurse in teaching clients about complementary and
alternative therapies.
Rationale: Specialty supplements are non-herbal dietary products used to enhance a
wide variety of body functions. They are more specific in their action than herbal
products and are generally targeted for a small number of conditions. Glucosamine is a
natural substance in the body necessary for cartilage growth and maintenance. Amino
acids are natural building blocks of muscle protein, and can help promote muscle
strength and endurance. As with herbal products, the nurse should advise clients to
report use of supplements to help determine any potential drug interactions with
prescribed medications.
A client taking an antidepressant reports also taking the herbal supplement St. John's
wort. What should the nurse assess in the client?
, a. Neurological status for signs of sedation
b. Respiratory status for signs of distress
c. Symptoms of headache and dizziness.
d. Vital signs for hypotension and slow pulse - ANSWER- Answer: c. Symptoms of
headache and dizziness
Objective: Describe the pharmacologic actions and safety of herbal and dietary
supplements.
Rationale: St. John's wort can interact with antidepressants and can lead to serotonin
syndrome. Signs and symptoms of serotonin syndrome include agitation, sweating,
headache, and dizziness.
A client receiving warfarin (Coumadin) therapy reports use of the herb feverfew. The
nurse should observe the client for evidence of which finding?
a. Liver toxicity
b. Increased diuretic effect
c. Renal dysfunction
d. Increased bleeding potential - ANSWER- Answer: d. Increased bleeding potential
Objective: Describe the pharmacologic actions and safety of herbal and dietary
supplements.
Rationale: Feverfew can lead to a client's increased risk for bleeding when taken with
drugs that affect coagulation, such as aspirin, heparin, NSAIDs, and warfarin. Liver
toxicity, increased diuretic effect, and renal dysfunction would not be anticipated with
the use of feverfew together with warfarin.
The client states using the herbal product saw palmetto. The nurse determines that the
product is helpful when the client reports which effect?
a. The ability to fall asleep quickly
b. Less difficulty initiating urination
c. A decrease in the frequency of headaches
d. Less burning and pain with urination - ANSWER- Answer: b. Less difficulty initiating
urination.
Objective: Describe the pharmacologic actions and safety of herbal and dietary
supplements.
Rationale: Saw palmetto is used to relieve urinary problems related to prostate
enlargement, such as urinary hesitancy, urgency, and a decrease in urinary stream.
This herbal product does not affect sleep, cause headaches, or relieve symptoms of a
urinary tract infection.
When providing teaching for a client who is planning to use herbal products, the nurse
should include which information?
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