A nurse is caring for a client who has been taking echinacea as alternative therapy for treatment. Which of the following findings should indicate to the nurse the treatment has been effective?

The client's blood pressure is 132/56 mm Hg.

The client's arthritis pain has improved,

The client's leg wound is healing

The client is sleeping through the night

Answer and Explanation

The Correct Answer is B

A. The client's blood pressure is 132/56 mm Hg.

Echinacea is not typically associated with significant effects on blood pressure. Monitoring blood pressure is essential but may not be directly related to the effectiveness of echinacea for the stated purpose.

B. The client's arthritis pain has improved.

Echinacea is often used as an alternative therapy, particularly for its potential immunostimulant properties. While its effectiveness is debated, some individuals report relief from symptoms, including arthritis pain. Monitoring the improvement of arthritis pain would be a relevant indicator of the treatment's effectiveness in this context.

C. The client's leg wound is healing.

Echinacea is not primarily known for its wound healing properties. Other factors, such as wound care practices and overall health, would likely have a more direct impact on the healing of a leg wound.

D. The client is sleeping through the night.

Echinacea is not typically associated with improvements in sleep patterns. Other factors, such as sleep hygiene or the resolution of conditions affecting sleep, would be more relevant in this context.

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Correct Answer is C

Explanation

A. Chronic obstructive pulmonary disease (COPD):
While COPD can lead to decreased exercise tolerance and episodes of hypoxia, which might indirectly contribute to dizziness or imbalance, it is not as directly associated with an increased risk of falls as conditions that impair vision or balance.

B. Chronic kidney disease (CKD):
CKD can have systemic effects and may contribute to muscle weakness or electrolyte imbalances in advanced stages, but it is not typically considered a primary risk factor for falls in the home health setting.

C. Wide-angle glaucoma:
Glaucoma causes damage to the optic nerve and leads to visual field deficits, particularly affecting peripheral vision. Impaired vision is a well-known risk factor for falls because it reduces the ability to detect hazards in the environment. This makes it more difficult for clients to navigate safely, increasing their risk of falls.

D. Osteoarthritis:
Osteoarthritis can lead to joint pain, stiffness, and reduced mobility, all of which may increase fall risk. However, compared to visual impairment, which directly affects a person’s ability to see obstacles and maintain balance, the impact of osteoarthritis on fall risk is generally considered less significant in this context.

A. Contact the local health department. B. Notify the parents of the students. C. Establish a triage area. D. Administer oxygen therapy.

Correct Answer is C

Explanation

A. Contact the local health department.

Contacting the local health department may be necessary for additional support, but it is not the initial action required in the immediate assessment and management of individuals with symptoms.

B. Notify the parents of the students.

Notifying parents is important, but it is a secondary step. The immediate concern is to assess and address the well-being of the affected students.

C. Establish a triage area.

Explanation: The priority in this situation is to assess and prioritize the individuals who are experiencing symptoms. Establishing a triage area allows the nurse to quickly evaluate the severity of symptoms, identify those in need of immediate attention, and organize the response accordingly.

D. Administer oxygen therapy.

Administering oxygen therapy is a treatment intervention that should be based on individual assessments and may not be the first step. Establishing a triage area allows for a systematic approach to identifying and prioritizing individuals in need of specific interventions, including oxygen therapy.

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A nurse is caring for a client who has been taking echinacea as alternative therapy for treatment. Which of the following findings should indicate to the nurse the treatment has been effective?

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