A client asks the nurse to explain what a dietary supplement is and how these supplements are regulated. What responses by the nurse are most appropriate?(Select all that apply.)

1. "Dietary supplements are only vitamins and minerals."
2. "The FDA can remove products from the market if they pose an unreasonable risk to the public."
3. "Dietary supplements are exempted from the Food, Drug, and Cosmetic Act."
4. "Dietary supplements are products to enhance the diet that are not approved as drugs."
5. "Dietary supplements are regulated by The Joint Commission (TJC)."


2, 3, 4

Rationale 1:The DSHEA loosely regulates dietary supplements as products to enhance the diet and not classified as drugs. Vitamins, minerals, and herbs are all considered dietary supplements.
Rationale 2: The FDA can remove products from the market if they pose an unreasonable risk to the public.
Rationale 3: Dietary supplements are exempted from the Food, Drug, and Cosmetic Act.
Rationale 4: Dietary supplements are products to enhance the diet that are not approved as drugs.
Rationale 5: Dietary supplements are not regulated by The Joint Commission (TJC).

Global Rationale: The FDA can remove products from the market if they pose an unreasonable risk to the public. Dietary supplements, which are products to enhance the diet that are not approved as drugs, are exempted from the Food, Drug, and Cosmetic Act. There are many different types of dietary supplements, including vitamins, minerals, and herbs. Dietary supplements are not regulated by The Joint Commission (TJC).

Nursing

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After an older adult has had irrigation for removing impacted cerumen, which of the following interventions would be helpful for preventing a recurrence? (Select all that apply.)

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