NR 566 Final Questions &
Answers(RATED A+)
A person with what type of condition should not take echinacea? - ANSWER Prolonged use should
be avoided in those who are immunocompromised including HIV, cancer, drug therapy for TB, RA,
and SLE
Therapeutic effect of coenzyme Q-10 - ANSWER Antioxidant that serves a vital role in cellular energy
production
Structurally similar to vitamin K, not used with warfarin
What is the dietary supplement act of 1994 (DSHEA)? - ANSWER Categorizes botanical products
(herbal supplements), vitamins, minerals as dietary (food) supplements rather than drugs. By
classifying products as dietary supplements the DSHEA excepts them from undergoing FDA scrutiny
and approval before marketing. DSHEA does impose restrictions with labeling. All herbal products
must be labeled as dietary supplements.
Ginkgo Biloba adverse effects - ANSWER stomach upset, headache, dizziness, vertigo. Some reports
of spontaneous bleeding. Incorrect ingestion can lead to seizures and fatalities (if you eat seeds)
Kava adverse effects - ANSWER can cause severe liver injury (ABSOUTELY contraindicated in
hepatotoxicity.
Patient education about administration/consumption about flaxseed - ANSWER Flaxseed can reduce
absorption of conventional medications so it should be taken 1 hour before or 2 hours after these
drugs
Therapeutic effect of feverfew (dietary supplement) - ANSWER Used primarily for migraine
prophylaxis, seasonal allergies, asthma, RA, and psoriasis
St. Johns wort adverse effects - ANSWER insomnia, vivid dreams, restlessness, anxiety, agitation,
irritability, abdominal pain, dry mouth, headache
, Ginger root adverse effects - ANSWER CNS depression and cardiac dysrhythmias. Excessive doses
can cause GI side effects
Current good manufacturing practices (CGMP) ruling of 2007 - ANSWER This ruling ensures that a
product contains what the label proclaims - the package contains ingredients that are listed and does
not lack any.
Set of standards to regulate the manufacturing and labeling of dietary supplements set for by the
FDA. Designed to ensure that dietary supplements be devoid of adulterants, contaminants, and
impurities and tha package labels accurately reflect the identity, purity, quality, and strength of what
is inside. In addition, the label should indicate not only active ingredients but also inactive
ingredients. Also mandates that mfr establish quality-control procedures with the objective of
preventing mislabeled, underfilled, or overfilled formulations, variations in tablet size, color, or
potency; and contamination with drugs, bacteria, pesticides, glass, lead, and other potential
contaminants.
Dietary supplement and non-prescription drug consumer protection act of 2006 - ANSWER
mandates the reporting of serious averse events for non-prescription drugs and dietary supplements.
The following should be reported: deaths, hospitalizations, life-threatening experiences, persistent or
significant disabilities and birth defects
Patient teaching and response to delayed onset of therapeutic effect for dutasteride - ANSWER "I
cannot donate blood while taking this medication" (men should not donate blood for at least 6
months after stopping to avoid transmission to women through administration of blood product)
Long half life (about 5 weeks)
reduces ejaculate volume and libido in some men and causes decline in PSA in all men
Teratogenic
absorbed through skin - pregnant women should not handle
Terazosin - how to know its working? - ANSWER symptom improvement and increased urinary flow
develop rapidly
"urine stream wasn't as delayed and the urine flow was a lot stronger"
Major drawback of progestin only oral contraceptives - ANSWER Irregular bleeding
slightly safer than combination but less effective and more likely to cause irregular bleeding, spotting,
amenorrhea, inconsistent cycle lengths, variations in volume and duration of monthly flow
