The nurse is working in the community and completes home visits with older adult clients. Which statement by a client demonstrates a need for further instruction about the use of complementary and alternative therapies?
a. "My doctor monitors my kidney function since I started taking calcium."
b. "I always talk to my doctor first before starting an herbal preparation."
c. "I heard that St. John's wort is good for any type of depression."
d. "I may start a Tai Chi program to help with my mobility and lift my spirits."
C
The client needs some education regarding the use of St. John's wort for depression. It is advisa-ble to seek the advice of a physician and to be evaluated for psychotherapy and/or drug therapy. Often older women consume too much calcium, and this can result in renal calculi. It is recom-mended that the older adult should have calcium levels monitored, as well as kidney function. All clients need to inform their health care team about any use of herbal preparations because of possible interactions with medications and possible side effects. Tai Chi is to be encouraged in the older adult to improve physical and mental health.
You might also like to view...
Student nurses are observing in the pediatric well-child clinic. The students observe that prior to administering an immunization to a child, a nurse explains the reason for the immunization series to the mother
While discussing the incident in post-conference, the students report that this activity was: 1. Health assessment. 2. Health promotion. 3. Health maintenance. 4. Health screening.
An older patient is concerned that many friends are having joint replacements and wants to know what can be done to prevent having to have one as well. Which modifiable risk factor should the nurse suggest the patient focus on at this time?
1. Physical inactivity 2. Cigarette smoking 3. Alcohol consumption 4. Body mass index (BMI)
A client has a hypofunctioning anterior pituitary gland. Which hormones does the nurse expect to be affected by this? (Select all that apply.)
a. Thyroid-stimulating hormone b. Vasopressin c. Follicle-stimulating hormone d. Calcitonin e. Growth hormone
A patient is being transitioned from total parenteral nutrition delivered through a central venous catheter to oral feedings. Which of the following would most likely occur with this patient?
1. provide peripheral parenteral nutrition for several days and progress as tolerated 2. pull the central venous catheter and provide oral meals as tolerated 3. pull the central venous catheter and insert a nasogastric tube for enteral feedings 4. cap the central venous catheter; provide peripheral parenteral nutrition and enteral feedings through a postpyloric tube