The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?

Many of the herbal preparations are helpful primarily because of their placebo effect.

This product is essentially harmless but also is not very beneficial in treating skin infections.

Topical echinacea is usually used to soothe burns and can cause damage to the skin.

Echinacea seems to be useful in the treatment of some infections, such as canker sores.

Answer and Explanation

The Correct Answer is D

A. Many of the herbal preparations are helpful primarily because of their placebo effect:
While placebo effects can play a role, many herbal preparations, including echinacea, have been studied for their potential therapeutic benefits beyond placebo effects. This statement oversimplifies and may dismiss valid efficacy.

B. This product is essentially harmless but also is not very beneficial in treating skin infections:
Echinacea is generally considered safe for topical use and has been used for various infections, including canker sores. This statement underestimates the potential benefits of echinacea in treating certain conditions.

C. Topical echinacea is usually used to soothe burns and can cause damage to the skin:
Topical echinacea is commonly used for various skin conditions, but it is not typically associated with causing skin damage. The statement may create unnecessary concern.

D. Echinacea seems to be useful in the treatment of some infections, such as canker sores:
Echinacea has been used traditionally and in some studies for its antimicrobial properties, which may be beneficial for certain infections, including canker sores. This statement acknowledges its potential utility without dismissing its benefits.

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Correct Answer is A

Explanation

A. When signs of severe hypoglycemia occur:
Glucagon is used to rapidly increase blood glucose levels in cases of severe hypoglycemia when the person is unable to eat or drink. It is administered in emergency situations where the individual is unconscious or unable to consume oral glucose.

B. Before meals to prevent hyperglycemia:
Glucagon is not used to prevent hyperglycemia or as a routine preventive measure. It is specifically for emergency treatment of severe hypoglycemia.

C. When unable to eat during sick days:
While glucagon can be used if the person is unable to eat due to severe hypoglycemia, it is not typically used as a preventative measure for situations where the client is simply unable to eat. Regular monitoring and management of blood glucose levels are necessary during illness.

D. At the onset of signs of diabetic ketoacidosis:
Glucagon is not used to treat diabetic ketoacidosis (DKA). DKA is managed with insulin, fluids, and electrolytes, not glucagon.

A. Undergo annual eye examinations. B. Avoid crowds and people who are sick. C. Have a chest x-ray prior to your first dose. D. Obtain routine vaccinations as scheduled.

Correct Answer is B

Explanation

A. Undergo annual eye examinations:
While eye examinations are important for monitoring certain conditions, they are not specifically required for clients taking methotrexate or adalimumab.

B. Avoid crowds and people who are sick:
Both methotrexate and adalimumab can suppress the immune system, increasing the risk of infections. Therefore, avoiding crowds and people who are sick is a crucial precaution to reduce the risk of infection.

C. Have a chest x-ray prior to your first dose:
A chest x-ray is not typically required for the initiation of adalimumab. However, screening for tuberculosis with a tuberculin skin test or other methods might be necessary due to the risk of reactivation.

D. Obtain routine vaccinations as scheduled:
Clients on methotrexate or adalimumab should consult their healthcare provider before receiving any vaccinations, as live vaccines are usually contraindicated in immunosuppressed individuals. Routine vaccinations may need to be reviewed and adjusted accordingly.

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The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?

Correct Answer is A

Explanation

The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?

Correct Answer is B

Explanation

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