A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?
Echinacea
Flaxseed
Ginger
Glucosamine
The Correct Answer is A
A. Echinacea may stimulate the immune system, and in individuals with autoimmune disorders like SLE, this immune stimulation can exacerbate the condition.
B. Flaxseed is generally considered safe for individuals with SLE.
C. Ginger is generally considered safe for individuals with SLE.
D. Glucosamine is generally considered safe for individuals with SLE.
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Related Questions
Correct Answer is A
Explanation
A. This helps to enhance absorption and prevent the ointment from being rubbed off onto clothing.
B. The ointment should not be massaged, as this can alter absorption and effectiveness.
C. The prescribed dose and area for nitroglycerin ointment application should be specific to the individual's prescription; a larger area is not necessary.
D. A thin layer is recommended to ensure accurate dosing and absorption.
Correct Answer is C
Explanation
A. Rinsing the mouth out after each dose is necessary for inhaled corticosteroids, not oral ones, to prevent oral thrush and other infections.
B. Prednisone is typically taken with food to minimize gastrointestinal irritation.
C. Prednisone is a corticosteroid that can cause bone loss and osteoporosis when used for long-term management of chronic asthma. Therefore, the client should take a calcium supplement to prevent or reduce the risk of these complications.
D. Weight gain, rather than weight loss, is a common side effect of prednisone use.
Informing the client about potential changes in weight is important, but the expected effect is usually weight gain.
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