The nurse is caring for a 36-year-old male patient newly diagnosed with multiple sclerosis (MS). The patient asks if he can continue to take echinacea to help boost his immune system. The nurse's best response is
a. "Limit use to no more than 8 weeks at a time."
b. "Echinacea use is not recommended for patients with autoimmune diseases."
c. "What other medications are you taking?"
d. "That is a decision that you will need to make independently."
ANS: B
Because echinacea appears to be an immunomodulator, it is not recommended for patients with autoimmune diseases, such as MS.
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The nurse is considering a risk diagnosis for a client. A risk diagnosis can be applied when:
a. there is a recognized vulnerability to exhibit a problem, but the response has not manifested itself. b. the state of being healthy may be enhanced by nursing interventions with the individual. c. signs and symptoms are identified that define an existing problem. d. the client indicates a desire to increase well-being.
When assessing a patient with right-sided closed tension pneumothorax, the nurse would expect to find:
A) the trachea displaced to the right. B) the trachea displaced to the left. C) an open chest wound. D) air exits the chest wall during exhalation.
The nurse is instructing a patient who has a hearing and balance disorder. What should be included in these instructions?
Select all that apply. 1. Change positions slowly. 2. Turn the whole body, rather than just the head. 3. Stand very still with the onset of vertigo. 4. Increase pace of ambulation. 5. Avoid reclining while taking antivertigo medication.
During which phase of learning would a nurse conduct teaching based upon the lesson plan?
a. Implementation c. Evaluation b. Development d. Execution