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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Expresses that they cannot get enough air to breathe: While this is concerning, it is less specific than a respiratory rate finding for opioid overdose.
B. Respiratory rate of 7 breaths/minute: This indicates severe respiratory depression, a critical sign of opioid overdose, which necessitates immediate administration of naloxone.
C. Intercostal retractions and bilateral wheezing on auscultation: These signs suggest respiratory distress but do not directly indicate an opioid overdose.
D. Pulse oximeter reading of 89% on room air: While low, this reading does not specifically indicate opioid overdose unless accompanied by respiratory depression.

A. Coronary artery disease. B. Seasonal allergic rhinitis. C. Type 2 diabetes mellitus. D. Irritable bowel syndrome.

Correct Answer is A

Explanation

A) Coronary artery disease: It is crucial to assess for a history of coronary artery disease (CAD) before administering sumatriptan, as the medication is a serotonin receptor agonist that can cause vasoconstriction of coronary arteries. This can increase the risk of serious cardiovascular events, such as heart attack or stroke, particularly in clients with preexisting CAD.

B) Seasonal allergic rhinitis: While seasonal allergic rhinitis may be a concern for other medications due to potential allergic reactions or interactions, it is not directly related to the administration of sumatriptan. This condition does not pose a significant risk with the use of sumatriptan.

C) Type 2 diabetes mellitus: Although type 2 diabetes mellitus is an important consideration in the overall health management of a client, it is not the most critical condition to assess before administering sumatriptan. However, if the client has diabetes with associated complications like cardiovascular disease, this would increase concern for using sumatriptan.

D) Irritable bowel syndrome: Irritable bowel syndrome (IBS) is a gastrointestinal disorder that typically does not influence the decision to administer sumatriptan. While IBS may affect a client’s comfort or medication regimen, it does not present the same immediate risks as coronary artery disease when using sumatriptan.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving morphine sulfate via a patient-controlled analgesia (PCA) pump postoperatively. Which assessment finding should prompt the nurse to administer a prescribed PRN dose of naloxone?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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