The nurse is admitting a patient onto a medical-surgical care area. The following information is available as part of the patient's past medical history:
PMH: Diagnosed with heart failure in 2005; History of gastric ulcer disease; Treated in the past for GERD; Right hip replaced 2001; Left hip replaced 2004; History of elevated blood glucose levels, treated with diet adjustment.
Based upon this information, which herbal preparations should the nurse counsel the patient to avoid using? (Select all that apply.)
1. Garlic
2. Olive leaf
3. Vitamin C
4. Glucosamine
5. Black cohosh
Correct Answer: 4, 5
Herbal products and supplements may interact with or potentiate certain prescribed medications. Glucosamine products contain sodium which might adversely affect the patient's heart failure. Phytoestrogen black cohosh contains salicylates which might aggravate the patient's history of gastric ulcer disease and GERD. There is no information to support that the patient should avoid taking garlic, olive leaf, or vitamin C.
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While assessing a client's respirations as abnormal, the nurse notes the following:(Select all that apply) Standard Text: Select all that apply
1. The rate of respirations 2. The depth of respirations 3. The client's normal breathing patterns 4. The relationship of respirations to cardiovascular function 5. Lack of sound when breathing
Which explanation by the nurse explains to a patient that water should be taken with a tablet?
a. "Juice or milk can keep it from dissolving." b. "Water is important for proper metabolism." c. "Water keeps the medicine potent." d. "Water helps to dissolve the medication."
The nurse is providing care to a client according to a protocol. Protocols were established:
a. during the Civil War. b. after the Crimean War. c. in 1912 by the Chicago Visiting Nurses Association. d. in 1933 by the American Hospital Association.
Which of the following is the essential component the nurse must bring to the therapeutic nurse-client relationship?
A) Confrontation B) Empathy C) Humor D) Reframing