During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?
Changes in weight.
Recent symptoms of infection.
Sleep disturbances.
Forgetfulness.
The Correct Answer is B
A) Changes in weight: While changes in weight can be important in assessing overall health, they are not specifically linked to the use of goldenseal. This information may be relevant for general health assessment but does not directly relate to potential effects of the herbal supplement.
B) Recent symptoms of infection: Goldenseal is often used for its antimicrobial properties, and its use might affect the body's response to infection. Gathering information about recent symptoms of infection helps in assessing if there might be an interaction between the herbal supplement and the client’s current health status, especially since goldenseal can impact immune response and may interfere with other medications used for infections.
C) Sleep disturbances: While sleep disturbances can be a concern in older adults, they are not directly related to the use of goldenseal. This information may be useful for general health assessments but does not specifically address potential interactions or side effects of goldenseal.
D) Forgetfulness: Forgetfulness, although important, is not directly related to the use of goldenseal. This symptom might warrant further evaluation but is not the primary concern regarding the use of this herbal supplement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Platelet count of 100,000/mm³ (100 x 10^9/L): Enoxaparin is a low molecular weight heparin used to prevent deep vein thrombosis (DVT), and a low platelet count (thrombocytopenia) can be a serious adverse effect of anticoagulant therapy. A platelet count of 100,000/mm³ is below the normal range (150,000 to 400,000/mm³) and indicates potential thrombocytopenia, which could increase the risk of bleeding and may warrant immediate action.
B. Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L): This BUN level is at the upper limit of normal but does not typically require immediate action unless there are other symptoms or significant changes in kidney function.
C. Serum creatinine 1.0 mg/dL (88.4 μmol/L): This value is within the normal range for serum creatinine and does not indicate an immediate concern related to enoxaparin.
D. Hematocrit 45% (0.45 volume fraction): This hematocrit level is within the normal range and does not typically require immediate action.
Correct Answer is C
Explanation
A) Determine if the client is taking the medication before meals: While the timing of medication relative to meals can affect absorption, this action assumes a specific problem without first clarifying the client's concerns. It's important to understand the nature of the client's issue before assessing medication administration.
B) Ask if his morning voiding is dark colored: Dark-colored urine may be a side effect of some medications, but this is a less direct approach to understanding why the client feels the medication is not working. It does not directly address the effectiveness of the medication.
C) Explore what the client means by the drug not working: This is the most appropriate initial intervention. Understanding the client's perception and specific concerns about the medication's effectiveness will guide further actions, such as assessing medication adherence, side effects, or the need for a medication adjustment.
D) Evaluate the client for signs of dyskinesia: While assessing for dyskinesia is important, it is more of a specific follow-up step. The priority is to understand the client's concerns about the medication's overall effectiveness before focusing on specific side effects.
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