A client reports taking St. John's wort for major depressive episode. The client states, "I'm taking the recommended dose, but it seems like if two capsules are good, four would be better!" Which is an appropriate nursing response?
1. "Herbal medicines are more likely to cause adverse reactions than prescription medications."
2. "Increasing the amount of herbal preparations can lead to overdose and toxicity."
3. "FDA does not regulate herbal remedies, therefore, ingredients are often unknown."
4. "Certain companies are better than others. Always buy a reputable brand."
2
Rationale: The nurse should advise the client that increasing the amount of herbal preparations can lead to overdose and toxicity. The use of herbal medicines, such as St. John's wort, should be approached with caution and responsibility. This herb is generally recognized as safe when taken at recommended dosages (900 mg/day).
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Professional nursing requires a commitment to lifelong learning because: (Select all that apply.)
a. treatment modalities and technology continue to advance. b. there are always new things to memorize and store in memory. c. nurses are expected to update and maintain competency. d. critical thinking is essential in nursing. e. nursing school gives the nurse all he/she needs to be competent.
The nurse is helping a patient understand the difference between macronutrients and vitamins and minerals. She is correct when she lists the following items as macronutrients: (Select all that apply.)
a. Water b. Potassium c. Starches d. Fiber e. Riboflavin
Which of the following nurse statements is completed in the working phase of the nurse–client relationship?
A) "Tell me about your religious beliefs during this season of the year." B) "I will put a chair in the bathroom so you can begin personal care. I will return to assist you as needed." C) "I understand that you are feeling anxious about going home. Let me assess you before we talk." D) "Let's talk about a way to assist you to a standing position so you can walk in the hall."
Which of the following statements is true of how the drug neostigmine helps in the treatment of skeletal muscle paralysis caused by nondepolarizing blockers?
A. It modifies the nicotinic-muscle (Nm) receptors so that ACH cannot produce its effect. B. It triggers a series of changes that lead to muscular relaxation. C. It enhances the activity of the enzyme acetylcholinesterase to prevent acetylcholine (ACH) from accumulating within the synaptic cleft. D. It directly stimulates the Nm receptors to induce depolarization.