Mrs. D tells the nurse that she has been having hot flashes and several of her friends recommended that she try Dong quai, an all-natural dietary supplement

She is concerned about using a dietary supplement without talking with her primary care provider (PCP) first because she has read several accounts of people having adverse reactions to supplements. The best response the nurse can make is: 1. "Since the product is all natural it should be OK.".
2. "Even all-natural products can produce adverse side effects or be toxic, so use should always be discussed with your PCP.".
3. "Natural products are only a problem when they aren't used as directed.".
4. "I wouldn't bother the PCP with this when you can ask your pharmacist.".


2
Rationale: Use of all dietary supplements should be discussed with a PCP to avoid possible drug interactions or toxicities. Products may be labeled as containing all natural ingredients, but these ingredients may still cause adverse side effects or toxicity. The label "all natural" does not imply that there are no pharmacodynamic effects since 25% of approved drugs were produced from plants and herbal remedies first used by traditional healers.

Nursing

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An emergency department patient was injured while attacking his neighbor with a knife. After treatment the patient was arrested and charged with battery and assault

Which classification or type of law would determine the case against this defendant? 1. Criminal law 2. Civil law 3. Private law 4. Constitutional law

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A family member of a critically ill patient is verbalizing the purpose of hemodynamic monitoring. Which statement indicates that the family member needs more education?

1. "The hemodynamic monitor can measure how much blood is in the arteries and veins." 2. "The hemodynamic monitor can measure how much blood comes out of the heart each minute." 3. "The hemodynamic monitor can measure how much oxygen is left in the blood after it circulates through the body." 4. "The hemodynamic monitor can measure how much pressure is in the heart."

Nursing

A community/public health nurse is providing care for the mentally ill. Of the following needs that the nurse can help the client meet, which are most important? (Select all that apply.)

a. Access to medications b. Basic life necessities c. Integration of provided services d. Funding for care e. Options for day treatment f. Support for family members

Nursing

A 78-year-old who has been admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action will be best to include in the plan of care?

a. Apply absorbent incontinent pads. b. Restrict fluids after the evening meal. c. Insert an indwelling catheter until the symptoms have resolved. d. Assist the patient to the bathroom every 2 hours during the day.

Nursing