An older adult client who has type 2 diabetes mellitus (DM) and a history of heart failure (HF) tells the home health nurse that his daughter brought him melatonin to help with sleeping problems. Which information should the nurse provide to the client? Select all that apply.

Tell the daughter to check with the healthcare provider before providing herbal supplements.

Remind the client that herbal medications are not regulated by the Food and Drug Administration.

Remind the daughter that all herbal supplements will not be helpful given the condition of the client.

Explain that melatonin can interfere with the action of prescribed medications for DM and HF.

The body builds up a tolerance of melatonin, requiring higher doses to get therapeutic benefits.

Answer and Explanation

Correct Answer : A,B,D

A. Herbal supplements can interact with prescription medications and may have side effects. It is essential to consult the healthcare provider to ensure safety and avoid harmful interactions, especially in clients with complex conditions like diabetes and heart failure.

B. Unlike prescription drugs, herbal supplements are not rigorously tested or regulated for safety, efficacy, or quality. This lack of regulation can lead to variability in product content and unexpected adverse effects.

C. Not all herbal supplements are ineffective; some may provide benefits, though they require careful consideration and medical guidance. Advising that all are unhelpful is inaccurate and dismisses potentially safe options when appropriately supervised.

D. Melatonin may affect blood pressure, blood sugar levels, and interact with heart failure medications, potentially altering their effectiveness or causing adverse effects. Clients should be informed about these risks.

E. The body builds up a tolerance of melatonin, requiring higher doses to get therapeutic benefits: Current evidence does not strongly support tolerance development to melatonin requiring dose escalation. The need for higher doses is not a concern in short-term melatonin use.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Hemoglobin: Diclofenac, a nonsteroidal anti-inflammatory drug (NSAID), can cause gastrointestinal bleeding leading to anemia. Pale appearance and fatigue are signs of anemia, making hemoglobin levels crucial to assess for blood loss or decreased oxygen-carrying capacity.

B. Total protein: Total protein levels are not directly affected by diclofenac use and are less relevant to the symptoms of pallor and fatigue in this context. Monitoring protein is more related to nutritional status or liver function.

C. Sodium: Sodium levels do not typically correlate with anemia symptoms or diclofenac adverse effects. While electrolyte imbalances can cause fatigue, the clinical presentation points more towards anemia.

D. Glucose: Glucose levels are unrelated to the client’s symptoms and diclofenac therapy. Unless there is a known history of diabetes, glucose monitoring is not a priority here.

A. Check amount of drainage from each eye. B. Use Snellen chart to assess visual acuity. C. Review eye pressure measurements. D. Palpate eyelids for decreased swelling.

Correct Answer is C

Explanation

A. Check amount of drainage from each eye: Pilocarpine does not work by reducing eye drainage output in a way that would be measured externally. While increased aqueous humor outflow occurs internally, visible drainage from the eye is not an indicator of effectiveness.

B. Use Snellen chart to assess visual acuity: Although visual acuity can improve if intraocular pressure is reduced, changes are often minimal. The main goal in open-angle glaucoma management is to preserve vision by lowering intraocular pressure.

C. Review eye pressure measurements: Pilocarpine reduces intraocular pressure by contracting the ciliary muscle and increasing aqueous humor outflow through the trabecular meshwork. Monitoring intraocular pressure is the most accurate way to evaluate the drug’s effectiveness.

D. Palpate eyelids for decreased swelling: Eyelid swelling is not a primary symptom of open-angle glaucoma, nor is it an expected indicator of pilocarpine’s therapeutic action. Palpation of the eyelids would not provide meaningful information about drug efficacy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An older adult client who has type 2 diabetes mellitus (DM) and a history of heart failure (HF) tells the home health nurse that his daughter brought him melatonin to help with sleeping problems. Which information should the nurse provide to the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

Correct Answer is A

Explanation

A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?

Correct Answer is C

Explanation

A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse to administering the medication?

Exhibits Which 2 drugs would be the most appropriate to give the client now?

A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?

An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN), is receiving atenolol, furosemide, and enalapril daily. Which assessment(s) should the nurse include in evaluating the effectiveness of the medications? Select all that apply.