A client tells the nurse "I always buy St. John's wort manufactured by Company X so I know what I

am getting.". The best response for the nurse would be

a. "That is fine. This will ensure continuity of therapy.".
b. "That is not really necessary because industry standards exist.".
c. "No manufacturing standards exist, so you may get variations even from
Company X.".
d. "You should really use a drug rather than an herbal preparation to treat your
depression.".


C
No standards for preparation of herbal remedies exist, so dosages may vary widely even in
preparations made by one company. Option A: Continuity is not guaranteed. Option D is not
advisable because it does not recognize the importance of the alternative treatment to the client.

Nursing

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The nurse is creating a four-column plan of care for a client. For which areas should the nurse prepare to document when creating this care plan?

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Which branch(es) of cranial nerve V is/are most commonly affected with trigeminal neuralgia?

a. opthalmic c. maxillary, mandibu-lar b. opthalmic, maxillary d. opthalmic, maxillary, mandibular

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The nursing diagnosis established for the client in chronic renal failure (CRF) is related to significant osteodystrophy. Which of the following does the nurse set as the priority nursing diagnosis for this client?

1. Risk for Injury 2. Risk for Bleeding 3. Disturbed Body Image 4. Anxiety

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The nurse is preparing a teaching plan for an older patient who is taking multiple medications. Which principles should the nurse keep in mind during the planning phase?

1. The patient should use only one pharmacy to fill prescriptions. 2. The patient should keep a list of all medications for easy accessibility. 3. Polypharmacy is a common cause of medication errors in older patients. 4. Polypharmacy is unique to older patients and is the most common cause of medication errors. 5. The patient should be aware of each prescribed medication, the dose, and possible side effects.

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