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 D
Explanation
Choice A reason: Vastus lateralis is muscle; insulin given intramuscularly absorbs too fast, risking hypoglycemia, unlike the slower, safer subcutaneous route intended.
Choice B reason: Deltoid is also muscle; subcutaneous insulin isn’t given here as it’s not fatty enough, leading to unpredictable absorption rates versus abdominal tissue.
Choice C reason: Intravenous line is for IV drugs; insulin via IV is rare and only in emergencies, not standard subcutaneous orders, risking rapid overdose effects.
Choice D reason: Abdominal fat is ideal for subcutaneous insulin; it ensures steady absorption into capillaries, maintaining glycemic control per pharmacokinetic principles.
Correct Answer is B
Explanation
Choice A reason: Pharmacy technicians are not authorized to administer medications. Their scope involves preparation and dispensing under supervision, ensuring safety and compliance.
Choice B reason: Safe practice standards dictate that the preparing nurse administers the medications to ensure accuracy and accountability, minimizing potential errors.
Choice C reason: Delegating to the head nurse violates medication administration protocols, as accountability rests with the nurse who prepared the medications.
Choice D reason: Allowing other licensed nurses to distribute medications increases the risk of errors due to lack of firsthand knowledge of preparation specifics.
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