The nurse notes a blood pressure of 160/90 mm Hg in a patient taking a thiazide diuretic. The patient reports taking an herbal medication that a friend recommended. Which herbal product is likely, given this patient's blood pressure?

a. Ginkgo
b. Hawthorne
c. Licorice
d. St. John's wort


ANS: A
Increased blood pressure can result when ginkgo is used in combination with a thiazide diuretic. Hawthorne can potentiate hypotension. Licorice can increase potassium loss, leading to hypokalemia. St. John's wort is not listed as an herbal alert substance with thiazide diuretics.

Nursing

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The mother of a 3-year-old tells the nurse that she will be in to visit tomorrow around 12:00 PM. The next morning, the child asks the nurse, "When is my mommy coming?" What is the nurse's best response?

a. "Your mommy will be here around noon." b. "Your mommy will be here when you have lunch." c. "Mommy will be here very soon." d. "Your mommy is coming in 4 hours."

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The thymus gland secretes thymosin and thymopoietin, which aid in developing T lymphocytes, a type of white blood cell involved in immunity. Identify the location of the gland

A) Attached to the thalamus in the brain B) Above the kidneys C) Connected by a stalk to the hypothalamus in the brain D) In the upper part of the chest above or near the heart

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What is the pathophysiologic process leading to the development of osteoporosis?

A. Lack of erythropoietin production by aging kidneys B. Rate of osteoclastic activity exceeding the rate of osteoblastic activity C. Insufficient intestinal absorption of calcium, magnesium, and phosphorus D. Atrophy of bone and skeletal muscle modeling processes as a result of disuse

Nursing

MC The most important facet to developing cultural competence is for the nurse to

A. Gain proficiency in another language beyond English. B. Understand the culture of the client. C. Understand and recognize the nurse's own cultural background. D. Identify the goals for culturally competent care.

Nursing