Pharmacology A Patient Centered Nursing Process Approach 9e McCuistion Test Bank
Pharmacology A Patient Centered Nursing Process Approach 9e McCuistion Test Bank
pharmacology a patient-centered nursing process approach 9th edition mccuistion test bank
Chapter 04: Complementary and Alternative Therapies
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition
MULTIPLE CHOICE
- A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe. The nurse will respond by saying that herbs
| a. | are classified as medications by the Dietary Supplement Health and Education Act of 1994. |
| b. | are regulated by the government and are determined to be safe. |
| c. | aren’t usually effective but are generally harmless. |
| d. | should be discussed with the patient’s provider in conjunction with other medications. |
ANS: D
Herbs are sometimes useful but can also be useless or dangerous. There are two types of monographs under development to compile information about these substances, but there are no agencies that regulate safety and efficacy. Patients should always tell providers if they are taking any herbal remedies since there are known drug–herbal interactions and side effects.
DIF: Cognitive Level: Applying (Application) REF: p. 41
TOP: Nursing Process: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
- A pregnant woman tells the nurse that she is taking ginger to reduce morning sickness. What will the nurse tell this patient?
| a. | “Ginger can cause fetal birth defects.” |
| b. | “Ginger is not safe during pregnancy.” |
| c. | “Ginger can cause abortion in low doses.” |
| d. | “Ginger may be taken in low doses for up to 4 days.” |
ANS: D
Ginger may be taken during pregnancy for morning sickness, but only on a short-term, low-dose basis. There is no indication that it causes fetal birth defects. Ginger is an abortifacient in large amounts.
DIF: Cognitive Level: Applying (Application) REF: p. 39
TOP: Nursing Process: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
- A patient asks the nurse about a herbal supplement and reports that it has a United States Pharmacopeia (USP) seal of approval. The nurse explains that this indicates
| a. | identity, potency, purity, and labeling accuracy. |
| b. | premarket testing for safety and efficacy. |
| c. | structure and function claims may be made. |
| d. | the supplement’s ability to prevent and treat disease. |
ANS: A
The USP “seal of approval” is a fee-based test and reports on identity, potency, purity, and labeling accuracy. It does not indicate premarket research on safety and accuracy, does not allow manufacturers to make claims about the function of the products, and does not indicate the substance’s ability to prevent and treat disease.
DIF: Cognitive Level: Applying (Application) REF: p. 38
TOP: Nursing Process: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
- A woman reports using ginseng to treat menopausal symptoms. Which response by the nurse is correct?
| a. | “Ginseng will inhibit your immune system.” |
| b. | “Please tell me if you are taking diabetic medications.” |
| c. | “Side effects of ginseng are common.” |
| d. | “You may experience a decrease in blood pressure while taking ginseng.” |
ANS: B
Diabetic patients taking ginseng should consult with their provider if used in conjunction with other herbs or drugs, because hypoglycemia may result. It may boost the immune system. Side effects are rare except with long-term use or in large doses. Ginseng can increase blood pressure.
DIF: Cognitive Level: Applying (Application) REF: p. 40
TOP: Nursing Process: Assessment/Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
- A woman who is experiencing symptoms of heart failure asks the nurse about using hawthorn. Which response by the nurse is correct?
| a. | “Hawthorn may be used long term in conjunction with nitrates.” |
| b. | “Hawthorn may contribute to hypertension.” |
| c. | “Hawthorn may interact with antihypertensive drugs.” |
| d. | “Hawthorn treats heart failure by lowering potassium levels.” |
ANS: C
Hawthorn may increase the action of antihypertensive medications. Its efficacy is not conclusive and it may interact with nitrates. It may decrease blood pressure. There is no evidence that hawthorn lowers potassium levels.
DIF: Cognitive Level: Applying (Application) REF: p.
pharmacology a patient-centered nursing process approach 9th edition mccuistion test bank