A patient informs the nurse, "I can't sit in the yard for even 10 minutes without my skin turning red and tender." The nurse would assess for the use of which complementary alternative medicine (CAM)?
a. St. John's wort
b. Ginkgo biloba
c. Feverfew
d. Echinacea
ANS: A
Correct: St. John's wort may cause photosensitivity.
Incorrect:
b. A side effect of ginkgo biloba is risk of bleeding not photosensitivity.
c. Patients taking feverfew should be observed for altered coagulation and heightened response to environmental allergens.
d. A side effect of echinacea is heightened sensitivity to ragweed and environmental allergens and is being studied for possible immunosuppressive effects.
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The nurse is caring for a client who was admitted to the medical unit. The healthcare provider states that the client's Romberg test was positive
As the nurse plans to meet the client's elimination needs, the nurse would implement which of the following interventions? 1. Allow the client to walk independently. 2. Obtain an order for a catheter. 3. Limit fluid intake. 4. Obtain a bedside commode.
A patient is suspected of having myasthenia gravis. A small dose of tubocurarine is administered, and the patient develops increased muscle weakness. The nurse would expect to immediately administer:
a. a calcium channel blocker. b. a dopamine agonist. c. a sympathetic stimulant. d. a cholinesterase inhibitor.
A client with chronic pancreatitis is prescribed enteral nutritional supplements with a polymeric formula. For which reason should the nurse question this prescription?
a. Isotonic formulas can cause diarrhea and should be avoided b. Modular formulas would better address nutritional requirements c. Clients with chronic pancreatitis require formulas with predigested macronutrients d. Polymeric formulas contain nutrients which are partially digested and easy to absorb
A patient is recovering from general anesthesia, What is the nurse's main concern during the immediate postoperative period?
A. Airway B. Pupillary reflexes C. Return of sensations D. Level of consciousness