A client tells the nurse that he is having difficulty sleeping. He says, "I don't want to use sleeping pills, but I'm thinking about getting some melatonin
" Which of the following is most important for the nurse to include in a response to the client?
a. "Melatonin is an effective treatment for certain sleep disorders."
b. "Melatonin appears to be a relatively safe sleep aid for most people."
c. "You may experience some side effects, such as elevated blood pressure."
d. "Before taking melatonin, you should consult your primary care provider."
D
All of the statements are true about melatonin; however, side effects are rare. It is most important to consult the primary care provider because melatonin is known to interact with other medications, including prescription medications. Therefore, the client should talk with the provider about this possibility.
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A beginning student is reading a published research article. Where in the article would the student find the abstract?
A) in the introduction C) after the references B) in the methods section D) at the beginning
The patient is admitted to the hospital in chronic renal failure, and is on several medications. What best describes the nurse's assessment of this patient?
1. The patient's liver may compensate for renal failure; the drugs may be effective. 2. The patient may have drug toxicity from all the drugs. 3. The patient may have drug toxicity only if the drugs are excreted by the kidneys. 4. The patient may have decreased effectiveness of the drugs.
An elderly client postoperative hip replacement is experiencing signs of hyponatremia. The nurse checks the client's electrolyte levels. Which of the following serum sodium levels confirms this diagnosis?
A) 150 mEq/L B) 145 mEq/L C) 135 mEq/L D) 130 mEq/L
The nurse is conducting a health history on a patient who takes warfarin (Coumadin) 5 mg/day and also reports using an herbal product. Which herbal products would most concern the nurse when taken concurrently with warfarin?
(Select all that apply.) a. Ginger b. Ginkgo biloba c. Feverfew d. Garlic e. Kava