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

The client's arthritis pain has improved.

The client is sleeping through the night.

The client's leg wound is healing.

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

None

Answer and Explanation

The Correct Answer is C

Choice A reason: Echinacea is not typically utilized for its analgesic or anti-inflammatory properties related to musculoskeletal disorders. Arthritis management usually involves supplements like glucosamine, chondroitin, or omega-3 fatty acids. Since echinacea focuses on immune modulation rather than joint health, improvement in arthritis pain would not be the expected clinical indicator of its effectiveness.

Choice B reason: Sleep enhancement is not a known therapeutic effect of echinacea. Clients seeking herbal assistance for insomnia or sleep disturbances would more likely use valerian root, melatonin, or chamomile. Because echinacea does not possess sedative or hypnotic properties, a report of sleeping through the night would be unrelated to this specific treatment.

Choice C reason: Echinacea is widely used for its immunostimulant properties, which can aid in wound healing and the prevention of upper respiratory infections. By enhancing phagocytosis and immune function, it supports the body's ability to repair tissue. Therefore, a healing leg wound serves as a positive clinical finding indicating the therapy is effective.

Choice D reason: This blood pressure reading indicates a wide pulse pressure and does not reflect a therapeutic goal of echinacea. Echinacea does not have antihypertensive properties or significant effects on cardiovascular hemodynamics. Monitoring blood pressure is a standard nursing action, but these specific values would not be used to evaluate the efficacy of an herbal immunostimulant.

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Correct Answer is A

Explanation

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

A. Create diversionary activities for children. B. Help clients gather needed supplies. C. Address the physical needs of clients. D. Explore the feelings the clients are experiencing.

Correct Answer is C

Explanation

Choice A reason: While creating diversionary activities for children is important, it is not the priority. These activities can help alleviate stress and provide a sense of normalcy, but they do not address immediate survival needs.

Choice B reason: Helping clients gather needed supplies is also important, but it is secondary to addressing immediate physical needs. Supplies can be essential for comfort and recovery, but the first concern should be life-sustaining measures.

Choice C reason: Addressing the physical needs of clients is the priority in a disaster situation. This includes providing first aid, securing food and water, and ensuring safety. These actions are crucial for survival and must be addressed before other needs.

Choice D reason: Exploring the feelings the clients are experiencing is a part of psychological first aid and is vital for long-term recovery. However, it is not the immediate priority when compared to physical needs, which are essential for survival.

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

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