A nurse who is to provide health education for a patient who will be receiving warfarin (Coumadin) for several weeks after knee-replacement surgery should include caution to avoid the CAM remedy of:
a. black cohosh.
b. kava kava.
c. valerian.
d. Ginkgo biloba.
D
Ginkgo biloba has anticoagulant effects and can cause bleeding in individuals using anticoagulants and antiplatelet agents. Black cohosh is an herbal treatment for hot flashes. Kava kava is considered to have analgesic properties but would not cause increased risk of bleeding. Valerian has calming, sleep-inducing effects.
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Herbs, vitamins, and organic whole foods are what complementary and alternative medicine category-based therapies?
1. Biologically-based 2. Energy 3. Manipulative body-based 4. Mind-body
A patient with type 2 diabetes is prescribed nateglinide (Starlix). Which statement indicates that the patient has a correct understanding of this therapy?
a. "I will try not to chew or break this tablet." b. "For best results, I need to take this drug right before I eat." c. "If this drug causes nausea, I will take it just before I go to bed." d. "If I miss a meal, I will take this drug anyway at its regularly scheduled time."
A nursing student caring for a client with Pick's disease realizes that the family should be provided an opportunity to discuss the disease with other families because:
A) It is standard protocol. B) The client is incapable of discussing the disease. C) Peer support groups decrease caregiver social isolation. D) It takes some of the stress off the health care team.
Chronic health problems in children often create complex needs for families. When a nurse is assessing the child and family, which of the following should be taken into account?
1. The ability of the family to pay for expensive equipment 2. The degree of impairment to the child's ability to develop 3. How often recreational activities will take place 4. Special needs "camp" placement for the child in the summer