A patient tells the nurse, "I take herbal products like melatonin and valerian to help sleep." Which response will the nurse make to the patient?
a. "My aunt uses them, and they help her a lot."
b. "Studies show they are ineffective as sleep aids."
c. "They can cause serious side effects and should be avoided."
d. "Be aware that these products are uncontrolled, so preparations vary."
ANS: D
Herbal products (e.g., melatonin, valerian) are not regulated by the U.S. Food and Drug Ad-ministration, and preparation concentrations may vary. It is not appropriate to give advice based on personal anecdote. There has not been systematic evaluation of the products, so there is no proof to support statements regarding effectiveness or severity of side effects.
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