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.
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Related Questions
Correct Answer is D
Explanation
A. Reduction in saliva production is not directly related to the immune system; it's more associated with oral health.
B. Thickening of the skin is a normal part of aging but is not directly related to the immune system.
C. Weakening of the periosteum refers to the outer layer of bone, and while it can occur with aging, it's not directly relevant to the immune system.
D. Reduced ciliary action in the respiratory tract is a common age-related change that can compromise the body's ability to clear pathogens and debris from the respiratory system, thus increasing susceptibility to respiratory infections.
Correct Answer is A
Explanation
A. Exposure to strong odors can trigger reflex bronchoconstriction, leading to symptoms like difficulty breathing and chest tightness, especially in individuals with hypersensitive airways.
B. While the mucociliary clearance system plays a role in removing inhaled particles and irritants from the airways, it is not primarily responsible for acute symptoms like difficulty breathing.
C. Alveolar macrophages are involved in phagocytosis and defense against inhaled particles and pathogens but are not directly involved in causing acute respiratory symptoms like bronchoconstriction.
D. Chemoreceptors primarily regulate respiratory drive in response to changes in blood gases and pH but are not directly responsible for bronchoconstriction in response to odor exposure.
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