A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go "natural" with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can "avoid taking any drugs." Which statement by the nurse is correct?
"It is important to remember that herbal remedies do not have proven safety ratings for pregnant women."
"Most herbal remedies are not harmful and are safe for use during pregnancy."
"Keep in mind that products from different manufacturers are required to contain consistent amounts of the herbal products."
"Please read each label carefully before use to check for cautionary warnings."
The Correct Answer is A
Choice A reason: Herbal remedies lack FDA safety data; in pregnancy, untested substances risk fetal harm (e.g., teratogenicity), making this a critical caution.
Choice B reason: Claiming safety is false; many herbs (e.g., St. John’s Wort) affect pregnancy adversely, and without evidence, this misleads the patient dangerously.
Choice C reason: Consistency isn’t required; herbal products vary widely in potency, and this false assurance ignores regulatory gaps in supplement standardization.
Choice D reason: Labels help, but warnings are inconsistent; this shifts responsibility without addressing the lack of proven safety, a more pressing prenatal concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Recording at shift’s end risks memory errors or omissions; delayed documentation compromises accuracy and legal accountability for controlled substances and patient care.
Choice B reason: Pharmacy technicians don’t administer drugs; nurses document their own actions, ensuring responsibility and precision in the medication administration record.
Choice C reason: Immediate recording post-administration ensures accuracy, timeliness, and compliance with standards; it reflects real-time events, reducing errors in patient care documentation.
Choice D reason: Recording others’ actions is inaccurate and unethical; nurses must document only their administrations, maintaining individual accountability and patient safety.
Correct Answer is B
Explanation
Choice A reason: Lungs excrete volatile drugs like anesthetics; most medications aren’t metabolized here, as they lack the cytochrome enzymes needed for broad drug breakdown.
Choice B reason: The liver is the primary site; cytochrome P450 enzymes metabolize most drugs, converting them into active or excretable forms, critical for pharmacokinetics.
Choice C reason: Kidneys excrete metabolites; they filter, not metabolize, most drugs, relying on prior liver processing, making them secondary in the metabolic pathway.
Choice D reason: The colon absorbs some drugs but doesn’t metabolize most; its role is minimal compared to the liver’s extensive enzymatic drug transformation capacity.
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