When asked if there are any regulatory controls on herbal or dietary supplements, the nurse responds to the client by informing him that herbal and dietary supplements are regulated by the:

Food, Drug and Cosmetic Act

Joint Commission on the Accreditation of Healthcare Organizations

Health and Human Services (HHS)

Dietary Supplement Health and Education Act (DSHEA)

Answer and Explanation

The Correct Answer is D

A. Food, Drug and Cosmetic Act:

The Food, Drug, and Cosmetic Act (FD&C Act) is a federal law that regulates the manufacturing, labeling, and distribution of food, drugs, cosmetics, and medical devices in the United States. While the FD&C Act does provide some regulatory authority over certain aspects of dietary supplements, such as labeling requirements and good manufacturing practices, it is not the primary law governing the regulation of herbal and dietary supplements.

B. Joint Commission on the Accreditation of Healthcare Organizations:

The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), now known as The Joint Commission, is an independent, nonprofit organization that accredits and certifies healthcare organizations and programs in the United States. However, The Joint Commission is not responsible for regulating herbal and dietary supplements.

C. Health and Human Services (HHS):

The Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government. While HHS oversees various health-related agencies, including the Food and Drug Administration (FDA), it is not the primary regulatory authority for herbal and dietary supplements.

D. Dietary Supplement Health and Education Act (DSHEA):

The Dietary Supplement Health and Education Act (DSHEA) of 1994 is the primary law that regulates herbal and dietary supplements in the United States. DSHEA defines dietary supplements, sets forth labeling requirements, establishes good manufacturing practices, and outlines the responsibilities of manufacturers and distributors of dietary supplements. Under DSHEA, dietary supplements are regulated as a category of food rather than as drugs.

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Correct Answer is C

Explanation

A. Echinacea:

Echinacea is commonly used to support the immune system and may be used to prevent or reduce the severity of colds and other infections. However, it is not typically used specifically for treating menopause-related hot flashes.

B. Saw palmetto:

Saw palmetto is primarily used for managing symptoms related to the prostate gland, such as benign prostatic hyperplasia (BPH), and is not commonly used for treating menopause-related hot flashes in women.

C. Black cohosh:

Black cohosh is one of the most widely studied herbal remedies for managing menopause-related symptoms, including hot flashes. Research suggests that black cohosh may help reduce the frequency and severity of hot flashes in some women experiencing menopausal symptoms.

D. Cranberry juice:

Cranberry juice is often used to promote urinary tract health and prevent urinary tract infections (UTIs). While it may have some health benefits, cranberry juice is not typically used for managing menopause-related hot flashes.

A. The patient stops taking the drug when he or she begins to feel better B. The patient switches to multiple drug therapy from single drug therapy C. The patient uses OTC drugs prophylactically D. The patient increases the drug dosage when he or she perceives that the therapeutic effect of the drug is slowing down

Correct Answer is A

Explanation

A. The patient stops taking the drug when he or she begins to feel better:

This choice refers to the common habit where patients discontinue their prescribed medication once they start to feel improvement in their symptoms, even if they haven't completed the full course of treatment. This premature cessation of medication can leave some microbes alive and potentially resistant to the antibiotic, allowing them to regrow and cause a recurrence of the infection.

B. The patient switches to multiple drug therapy from single drug therapy:

This choice describes a scenario where a patient switches from a single drug therapy to multiple drug therapy. While this may be a valid treatment approach in some cases, it is not directly related to the re-population and re-establishment of microbes causing an infection.

C. The patient uses OTC drugs prophylactically:

This choice involves patients using over-the-counter (OTC) drugs preventively without consulting a healthcare professional. While OTC drugs may have their own set of issues, such as contributing to antibiotic resistance, this behavior isn't specifically linked to the re-population and re-establishment of microbes causing an infection.

D. The patient increases the drug dosage when he or she perceives that the therapeutic effect of the drug is slowing down:

This choice describes a scenario where a patient independently increases the dosage of their medication without consulting a healthcare provider. While inappropriate dosage adjustments can lead to adverse effects, it doesn't directly address the re-population and re-establishment of microbes causing an infection.

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When asked if there are any regulatory controls on herbal or dietary supplements, the nurse responds to the client by informing him that herbal and dietary supplements are regulated by the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she include as an herbal supplement clients might use to treat menopause-related hot flashes?

Correct Answer is C

Explanation

Which of the following common habit of patients may cause microbes to re-populate and re-establish an infection?

Correct Answer is A

Explanation

Mr. Thomas, who is receiving oral penicillin, reports that he has a sore mouth. On inspection, the nurse notes bright red oral mucous membranes with some white patches. The primary care provider is notified immediately because these symptoms may be caused by:

A client has been prescribed isoniazid (INI) for tuberculosis. Which foods should the client avoid while taking this medication, as they are high in tyramine? (Select All that Apply.)

The nurse is caring for a client who is being discharged with a prescription for tetracycline. Which of the following statements, if made by the client. demonstrates an understanding of the discharge instructions?

A client has been diagnosed with tuberculosis. How long does the nurse anticipate this client will require treatment?

Which of the following complaints by a man taking gentamycin would be most indicative that he is experiencing ototoxicity?

Which of the following is a legal requirement contained in the DSHEA?

Before starting antimicrobial therapy, the nurse assesses a patient for possible drug allergy. Which of the following complaints should alert the nurse to a drug allergy?