A nurse is educating a client who wants to use acupuncture as a CAM practice to manage his chronic pain. The nurse should inform the client that acupuncture involves which of the following actions?

Inserting thin needles into specific points on the body to restore energy balance

Applying pressure or massage to specific points on the body to relieve pain or stress

Exposing specific points on the body to light, heat, or electricity to stimulate healing

Placing cups on specific points on the body to create suction and increase blood flow

Answer and Explanation

The Correct Answer is A

The correct answer is

A. Inserting thin needles into specific points on the body to restore energy balance.

Choice A reason: Inserting thin needles into specific points on the body to restore energy balance is the correct action for acupuncture. This is because acupuncture is based on the traditional Chinese medicine theory that health depends on the balance and flow of vital energy, called qi, through pathways called meridians. Acupuncture aims to stimulate specific points along these meridians, called acupoints, to correct any imbalances or blockages of qi and to promote healing and well-being.

Choice B reason: Applying pressure or massage to specific points on the body to relieve pain or stress is not a valid action for acupuncture. This is because this action describes another CAM practice called acupressure, which is similar to acupuncture but does not use needles. Acupressure also follows the traditional Chinese medicine theory of meridians and acupoints, but uses manual pressure, such as finger pressure, to stimulate the acupoints.

Choice C reason: Exposing specific points on the body to light, heat, or electricity to stimulate healing is not a valid action for acupuncture. This is because this action describes another CAM practice called electroacupuncture, which is a variation of acupuncture that uses electrical currents to stimulate the acupoints. Electroacupuncture may be used as an adjunct to acupuncture or as a standalone therapy.

Choice D reason: Placing cups on specific points on the body to create suction and increase blood flow is not a valid action for acupuncture. This is because this action describes another CAM practice called cupping, which is a form of therapy that uses cups made of glass, bamboo, or plastic to create a vacuum on the skin. Cupping may be used to treat pain, inflammation, blood circulation, and relaxation.

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Correct Answer is A

Explanation

The correct answer is

A. Decrease in serum potassium level and increase in serum sodium level.

Choice A reason: A decrease in serum potassium level and an increase in serum sodium level is a possible effect of licorice on the client's laboratory results. This is because licorice contains glycyrrhizin, a compound that can inhibit the enzyme 11-beta-hydroxysteroid dehydrogenase, which converts cortisol to cortisone. This leads to increased cortisol levels, which can mimic the effects of aldosterone, a hormone that regulates sodium and potassium balance. As a result, licorice can cause sodium and water retention, hypertension, and hypokalemia (low potassium levels) in some people.

Choice B reason: An increase in serum potassium level and decrease in serum sodium level is not a likely effect of licorice on the client's laboratory results. This is because licorice tends to have the opposite effect, as explained above.

Choice C reason: A decrease in serum calcium level and an increase in serum magnesium level is not a consistent or conclusive effect of licorice on the client's laboratory results. This is because the evidence for the effects of licorice on calcium and magnesium metabolism is limited and conflicting. Some studies suggest that licorice may lower calcium levels by increasing urinary calcium excretion, while others suggest that licorice may increase calcium levels by enhancing intestinal calcium absorption. Similarly, some studies suggest that licorice may lower magnesium levels by increasing urinary magnesium excretion, while others suggest that licorice may increase magnesium levels by enhancing intestinal magnesium absorption.

Choice D reason: Increase in serum calcium level and decrease in serum magnesium level is not a common or expected effect of licorice on the client's laboratory results. This is because licorice does not have a clear or consistent impact on calcium and magnesium metabolism, as mentioned above.

A. Headache B. Dizziness C. Nausea D. All of the above

Correct Answer is D

Explanation

The correct answer is D. All of the above.

Choice A reason: This statement is correct and the nurse should ask the client about headache as a possible adverse effect that may occur after chiropractic manipulation. Chiropractic manipulation is a manual therapy that involves applying controlled, sudden force to specific joints of the spine or other parts of the body to improve mobility and function. However, it may also cause some mild and transient side effects, such as headache, in 33-60% of patients. The mechanism of headache after chiropractic manipulation is not fully understood, but it may be related to changes in blood flow, muscle tension, or nerve irritation in the cervical region. Therefore, the nurse should assess the client for headache, its severity, duration, location, and associated symptoms, and advise the client to report any persistent or severe headache to his or her health care provider.

Choice B reason: This statement is also correct and the nurse should ask the client about dizziness as a possible adverse effect that may occur after chiropractic manipulation. Dizziness is a common side effect of chiropractic manipulation, especially of the cervical spine. It may manifest as vertigo (a sensation of spinning or moving), disequilibrium (a sensation of imbalance or unsteadiness), or presyncope (a sensation of faintness or lightheadedness). The mechanism of dizziness after chiropractic manipulation is not fully understood, but it may be related to changes in blood pressure, vestibular function, or proprioception in the cervical region. Therefore, the nurse should assess the client for dizziness, its type, severity, duration, triggers, and associated symptoms, and advise the client to report any persistent or severe dizziness to his or her health care provider.

Choice C reason: This statement is also correct and the nurse should ask the client about nausea as a possible adverse effect that may occur after chiropractic manipulation. Nausea is a less common but possible side effect of chiropractic manipulation. It may be related to dizziness, anxiety, or visceral stimulation caused by spinal manipulation. Therefore, the nurse should assess the client for nausea, its severity, frequency, triggers, and associated symptoms, and advise the client to report any persistent or severe nausea to his or her healthcare provider.

Choice D reason: This statement is correct because it includes all of the above statements. Chiropractic manipulation may cause various mild and transient side effects in some patients. Some of these side effects may include headache, dizziness, and nausea. Therefore, choice D is the best answer for asking the client about possible adverse effects that may occur after chiropractic manipulation.

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A nurse is educating a client who wants to use acupuncture as a CAM practice to manage his chronic pain. The nurse should inform the client that acupuncture involves which of the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who uses licorice as a CAM product to treat his cough and sore throat. The nurse should expect that licorice may have which of the following effects on his laboratory results?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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