A Chinese woman who is 12 weeks pregnant reports to the nurse that ginseng and bamboo leaves help reduce her anxiety. How should the nurse respond to this patient?
1. Advise the patient to give up the bamboo leaves but to continue taking ginseng.
2. Advise the patient to give up all herbal remedies during the first trimester except for ginger.
3. Tell the patient that her remedies have no scientific foundation.
4. Assess where the patient obtains her remedy, and investigate the source.
2
Rationale 1: It would be wrong to advise the patient to continue taking ginseng, which is not recommended during pregnancy.
Rationale 2: In general, it is best to advise pregnant women not to ingest any herbs, except ginger, during the first trimester of pregnancy.
Rationale 3: Some remedies do have scientific foundation, so it is not appropriate to instruct the patient that none do.
Rationale 4: It is outside the nurse's scope to assess the source of the herbs.
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