An antihypertensive medication has been prescribed for an older patient with hypertension. The patient tells a clinic nurse that he would like to take an herbal substance to help lower his blood pressure instead of the prescription medication
Which of the following should the nurse do? (Select all that apply.)
a. Tell the patient that herbal substances are less effective than prescription medica-tions
b. Encourage the patient to discuss the use of an herbal substance with his primary care provider
c. Explore with the patient which herbal substance he is planning on taking
d. Educate the patient on possible interac-tions of the herbal substance with his other medications
e. Instruct the patient not to take the herbal substance, as it is dangerous
ANS: B, C, D
The popularity of medicinal herbs and supplements continues to rise. A major concern with the use of herbs and supplements is the potential interactions with prescribed medications. It is im-portant that the patient share his or her use of herbs and substances with all providers and that the provider review the herbs and the prescribed medications to ensure compatibility.
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A nurse plans care for a client who is recovering from open reduction and internal fixation (ORIF) surgery for a right hip fracture. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Elevate heels off the bed with a pillow. b. Ambulate the client on the first postoperative day. c. Push the client's patient-controlled analgesia button. d. Re-position the client every 2 hours. e. Use pillows to encourage subluxation of the hip.
Surgical placement of a ventriculoperitoneal shunt is used to treat
a. hyponatremia. b. intracerebral hemorrhage. c. spontaneous intracerebral hemorrhage. d. hydrocephalus.
Several older adult clients in the nurse's care report growing concerns about their dental health. They state they need to have dental work done despite continuing the same hygiene habits they have employed for years
They inquire about the underlying cause for these changes. What information should be given to these clients? 1. Dental health begins to decline with aging. 2. The loss of bone density with aging will result in tooth decay and breakage. 3. Increases in saliva production increase exposure of the tooth's enamel to corrosive agents. 4. Metabolism changes in aging contribute to dental destruction.
A client diagnosed with schizophrenia states, "Can't you hear him? It's the devil. He's telling me I'm going to hell." Which is the most appropriate nursing reply?
A. "Did you take your medicine this morning?" B. "You are not going to hell. You are a good person." C. "I'm sure the voices sound scary. I don't hear any voices speaking." D. "The devil only talks to people who are receptive to his influence."