The nurse is admitting a client and asks to see all medications taken on a routine basis. The client offers a long list containing prescription medications and a variety of herbal preparations that are unfamiliar names to the nurse
Which of the following actions would be appropriate for the nurse at this time? 1. Write down all the names of the herbals and look them up later.
2. Tell the client that herbals are ineffective and to throw them away.
3. Inform the healthcare provider of the herbals.
4. Ask the client what they are taken for and how often.
4
Rationale 1: Looking up the herbal preparations will enhance the level of knowledge by the nurse but is not the priority action.
Rationale 2: Asking the client to throw the items away will not address potential impact of their past ingestion.
Rationale 3: This step should be done only after the nurse has completed the assessment as associated with these substances.
Rationale 4: The nurse must assess prior to intervening and must understand that some cultures use herbal preparations in their health practices. The nurse needs to obtain additional data from the client about what the herbals are used for and how often they are taken. This information should be documented in the client's record and thus be available to the healthcare provider.
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