Tina, a 32-year-old woman, is using herbal remedies like Echinacea and garlic cloves for her upper respiratory infection. She has a history of COPD. Which of the following actions should the nurse consider?
Advise discontinuing the herbal remedies.
Assess her lung sounds.
Provide education on flu vaccines.
Advise increasing fluid intake.
Check for interactions between medicines used.
Correct Answer : A,B,C,E
A. The nurse should advise Tina to discontinue the herbal remedies because they may interfere with her medications or worsen her symptoms.
B. The nurse should also assess her lung sounds to monitor her respiratory status.
C. Providing education on flu vaccines is crucial to prevent further infections.
D. Adequate fluid intake is generally recommended, but it may not be the most immediate concern in this case.
E. The nurse should check for any interactions between the herbal remedies and any bronchodilators that Tina is using, as they may reduce their effectiveness or cause adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B. Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D. A PET scan can help determine the extent of cancer spread and guide treatment planning.
E. Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.
Correct Answer is D
Explanation
A. While an increasing respiratory rate may indicate respiratory distress, in the context of a closed head injury, decreasing level of consciousness (LOC) is a more concerning trend as it suggests worsening neurological status.
B. A rising heart rate may indicate pain, anxiety, or physiological stress, but it's not as directly related to the severity of a closed head injury.
C. While decreasing blood pressure can be concerning, especially if it indicates hypovolemic shock, in the context of a closed head injury, the primary concern is neurological status.
D. A decreasing LOC suggests worsening neurological function, which can indicate increased intracranial pressure (ICP) or neurological deterioration.
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