University of California, Riverside - CBNS 125 Chapter 04: Complementary and Alternative Therapies McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition MULTIPLE CHOICE 1)A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe

University of California, Riverside - CBNS 125

Chapter 04: Complementary and Alternative Therapies

McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition

MULTIPLE CHOICE

1)A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe. The nurse will respond by saying that herbs

1. 1. are classified as medications by the Dietary Supplement Health and Education Act of 1994.
   2. are regulated by the government and are determined to be safe.
   3. aren’t usually effective but are generally harmless.
   4. should be discussed with the patient’s provider in conjunction with other medications.
2. A pregnant woman tells the nurse that she is taking ginger to reduce morning sickness. What will the nurse tell this patient?
   1. “Ginger can cause fetal birth defects.”
   2. “Ginger is not safe during pregnancy.”
   3. “Ginger can cause abortion in low doses.”
   4. “Ginger may be taken in low doses for up to 4 days.”
3. A patient asks the nurse about a herbal supplement and reports that it has a United States

Pharmacopeia (USP) seal of approval. The nurse explains that this indicates

1. 1. identity, potency, purity, and labeling accuracy.
   2. premarket testing for safety and efficacy.
   3. structure and function claims may be made.
   4. the supplement’s ability to prevent and treat disease.

4. A woman reports using ginseng to treat menopausal symptoms. Which response by the nurse is correct?

1. “Ginseng will inhibit your immune system.”
2. “Please tell me if you are taking diabetic medications.”
3. “Side effects of ginseng are common.”
4. “You may experience a decrease in blood pressure while taking ginseng.”

5. A woman who is experiencing symptoms of heart failure asks the nurse about using hawthorn. Which response by the nurse is correct?
   1. “Hawthorn may be used long term in conjunction with nitrates.”
   2. “Hawthorn may contribute to hypertension.”
   3. “Hawthorn may interact with antihypertensive drugs.”
   4. “Hawthorn treats heart failure by lowering potassium levels.”
6. A patient who has HIV asks the nurse about taking Echinacea to improve immune function.

What will the nurse tell this patient?

6. 1. “The root extract is useful for treating upper respiratory and urinary tract infections.”
   2. “Research regarding the benefits of Echinacea is inconclusive.”
   3. “Use it as needed when antibiotics fail to treat your infections.”
   4. “You may use it safely up to 8 weeks at a time as a preventive medication.”
7. The nurse is counseling a female patient who reports taking ginger to treat postoperative nausea. Which statement by the patient indicates understanding of the teaching?
   1. “I should experience immediate effects with this herb.”
   2. “The benefits of taking ginger for postoperative nausea have not been proven.”
   3. “I should take ginger with nonsteroidal antiinflammatory drugs (NSAIDs) to enhance its effects.”
   4. “If I develop gastrointestinal (GI) upset, I should stop taking ginger immediately.”
8. The nurse is providing preoperative education to a patient who will have surgery in several weeks. The patient denies taking anticoagulant medications but reports using herbal supplements. Which herb would cause the nurse to be concerned?
   1. Echinacea
   2. Ginkgo biloba
   3. Kava
   4. Sage
9. The nurse provides counseling to a patient who reports taking licorice root to treat a stomach ulcer. Which statement by the patient indicates understanding of the teaching?
   1. “I may take licorice root with prednisone.”
   2. “I may develop hypotension while taking licorice root.”
   3. “I should avoid licorice root when pregnant.”
   4. “I should try licorice instead of coming back to see the provider.”
10. The spouse of a patient who is an alcoholic asks the nurse about dietary supplements that may help prevent liver disease. Which herb will the nurse suggest the patient discuss with a provider who has prescriptive authority?
    1. Ginkgo biloba
    2. Kava
    3. Milk thistle
    4. Sage
11. A patient reports taking St. John’s wort to treat symptoms of depression and asks the nurse how to use this product safely and effectively. Which response by the nurse is correct?
    1. “Apply sunscreen while taking St. John’s wort.”
    2. “It is safe to take St. John’s wort with prescription antidepressants.”
    3. “St. John’s wort does not affect nutrition.”
    4. “You should take St. John’s wort as needed when symptoms occur.”
12. A patient is taking valerian, or “herbal valium,” to induce sleep. What will the nurse teach this patient about this herb?
    1. Habituation and addiction are likely.
    2. Hangover effects are common with usual doses.
    3. Liver function tests must be monitored with long-term use.
    4. Valerian has a high risk for overdose.
13. A patient asks the nurse about the safety of herbal products in general. Which response by the nurse is correct?
    1. 1. “Consumers should research products and their manufacturers before taking.”
       2. “Manufacturers are required to list interactions of herbs with drugs and food.”
       3. “Products manufactured for drug and grocery store chains are safe.”
       4. “Toxicological analysis is required of all commercial herbal products.”
14. Which information can consumers expect to be included in labeling of herbal products? a. Actions and uses
    1. 2. Interactions and precautions
       3. Scientific name of the product
       4. Safety and efficacy study results

MULTIPLE RESPONSE

1.  Which herbal remedies are often used for GI disorders? (Select all that apply.)

1. 1. 1. Chamomile
      2. Cinnamon
      3. Echinacea
      4. Ginger
      5. Ginkgo Biloba