When taking a medication history on a patient, why should the nurse ask about complementary or alternative therapies?
Many drug alternative therapy interactions can cause serious problems.
Natural products may be more effective, and the prescribed drugs may not be needed.
Patients starting on new drugs are usually not compliant with medical regimes.
The cost of the drug and the alternative therapy may be too expensive for the patient to handle.
The Correct Answer is A
Choice A rationale
Many complementary or alternative therapies can interact with prescribed medications, potentially causing serious health problems.
Choice B rationale
This is not a valid reason for asking about alternative therapies, as the nurse's role is to ensure safe and effective use of prescribed medications.
Choice C rationale
Non-compliance is not the primary concern when asking about alternative therapies; potential interactions are.
Choice D rationale
The cost of treatments is a consideration, but it is not the primary reason for asking about alternative therapies.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Thiazide diuretics can lead to hypokalemia, thus a low potassium diet is not recommended. Instead, patients should consume potassium-rich foods to maintain electrolyte balance.
Choice B rationale
Thiazide diuretics increase urine output, which can lead to dehydration. Encouraging increased fluid intake helps to prevent dehydration and maintain proper fluid balance.
Choice C rationale
Thiazide diuretics can cause dizziness or lightheadedness, increasing the risk of falls, especially in elderly patients. Initiating a fall risk protocol is important to ensure patient safety.
Choice D rationale
While exercise is beneficial, thiazide diuretics can cause weakness and dizziness, making it important to assess the patient’s tolerance and monitor their response to physical activity.
Correct Answer is B
Explanation
Choice A rationale
Peripheral edema is more commonly associated with right-sided heart failure rather than left-sided. This is because right-sided heart failure leads to systemic venous congestion, causing fluid to accumulate in the peripheral tissues, particularly in the legs and ankles.
Choice B rationale
Pulmonary edema is a major concern in left-sided heart failure due to the inability of the left ventricle to effectively pump blood out to the systemic circulation. This results in blood backing up into the pulmonary veins, leading to fluid accumulation in the lungs.
Choice C rationale
Liver edema, or hepatomegaly, is more typically seen in right-sided heart failure, where the failure of the right ventricle causes blood to back up into the systemic circulation, affecting the liver and other organs.
Choice D rationale
Abdominal edema, or ascites, is also more associated with right-sided heart failure. This condition occurs due to increased pressure in the veins and capillaries, leading to fluid leakage into the abdominal cavity.
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