A client tells a nurse that she is considering using herbal supplements in addition to her prescription medications. What would be the nurse's best response?
“It is never permissible to use herbal supplements with prescription medications."
"Herbs are not classified as drugs in the United States, so there is no contraindication to using them."
“I will refer you to an herbalist who can help you decide which medications you can take."
"Herbs have pharmacologic effects on the body and can interact with some prescription medications."
The Correct Answer is D
A. It is not accurate to say it is never permissible; some herbal supplements may be safely used with certain medications under professional guidance.
B. Herbs can have pharmacologic effects and may interact with prescription medications, even if they are not classified as drugs in the U.S.
C. Referring to an herbalist is not the best immediate response; the nurse should first address potential interactions and safety concerns.
D. Herbs can indeed have pharmacologic effects and interact with prescription medications, potentially causing adverse effects or altering the effectiveness of the medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Advising a specific dosing regimen for ginkgo biloba without addressing safety concerns is not appropriate.
B. While memory problems may occur post-surgery, addressing the interaction between ginkgo biloba and warfarin is more urgent.
C. Ginkgo biloba can interact with anticoagulant drugs like warfarin, increasing the risk of bleeding. The nurse should instruct the client about this interaction and check for signs of bruising or bleeding.
D. Keeping a record of memory disturbances does not address the immediate safety concern of the interaction between ginkgo biloba and warfarin.
Correct Answer is ["A","D","E"]
Explanation
A. Immobility can lead to pressure ulcers due to prolonged pressure on bony prominences.
B. Polyuria is not a common complication of immobility.
C. Diarrhea is not typically associated with immobility; constipation is more common.
D. Immobility can cause contractures of the extremities due to muscle shortening and tightening.
E. Crackles in the lungs can occur due to fluid accumulation and reduced lung expansion associated with immobility.
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