The nurse in a prenatal clinic is working with a pregnant patient who takes multiple herbal supplements. Which herbal supplement taken by the patient would most concern the nurse?
a. Blue cohosh, because it can induce uterine contractions
b. Echinacea, because it can suppress immunity
c. Ginkgo biloba, because it reduces blood flow
d. Black cohosh, because it causes spontaneous abortion
ANS: A
Blue cohosh can induce uterine contractions and should not be taken by pregnant women. The greatest risk to the pregnant patient is uterine contractions.
Short-term use of echinacea does not cause immunosuppression.
Ginkgo biloba increases, not reduces, blood flow.
Black cohosh should not be taken in the first or second trimester of pregnancy because of its estrogenic effects. However, it is not known to cause spontaneous abortion.
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A patient, age 43, had a biopsy of a lump in her right breast that revealed a benign tumor. The nurse explains to her that a benign tumor differs from a malignant tumor in that benign tumors
a. do not cause damage to adjacent tissue. b. are simply an overgrowth of normal cells. c. do not spread to other tissues and organs. d. frequently recur in the same site.
Each compartment of the body has a water-fluid distribution movement of its own. What is the process allowing these fluids to move and distribute themselves among compartments?
a. Active transport b. Diffusion c. Filtration d. Osmosis
Fetal acute hypovolemia can result from which of the following maternal disorders?
a. Abruptio placenta b. Pregnancy-induced hypertension c. Maternal diabetes d. Breast cancer
During assessment, a client tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the client's plan of care?
A) Desire is the cause of all human suffering and misery. B) Self-indulgence is necessary to reach nirvana. C) Present behavior is based on current unhappiness. D) Vision is achieved through role playing.