A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go "natural" with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can "avoid taking any drugs." Which statement by the nurse is correct?
"It is important to remember that herbal remedies do not have proven safety ratings for pregnant women."
"Most herbal remedies are not harmful and are safe for use during pregnancy."
"Keep in mind that products from different manufacturers are required to contain consistent amounts of the herbal products."
"Please read each label carefully before use to check for cautionary warnings."
The Correct Answer is A
Choice A reason: Herbal remedies lack FDA safety data; in pregnancy, untested substances risk fetal harm (e.g., teratogenicity), making this a critical caution.
Choice B reason: Claiming safety is false; many herbs (e.g., St. John’s Wort) affect pregnancy adversely, and without evidence, this misleads the patient dangerously.
Choice C reason: Consistency isn’t required; herbal products vary widely in potency, and this false assurance ignores regulatory gaps in supplement standardization.
Choice D reason: Labels help, but warnings are inconsistent; this shifts responsibility without addressing the lack of proven safety, a more pressing prenatal concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.
Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.
Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.
Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.
Correct Answer is A
Explanation
Choice A reason: Blood aspiration indicates vascular entry; discarding prevents IV administration of a drug meant for another route, avoiding rapid absorption risks or contamination.
Choice B reason: Giving despite blood risks unintended IV delivery; drugs like IM injections aren’t formulated for this, potentially causing toxicity or embolism.
Choice C reason: Changing the needle doesn’t address blood-mixed medication; it remains unsafe for injection, as the dose is compromised and potentially contaminated.
Choice D reason: Omitting skips treatment unnecessarily; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.
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