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?
Flaxseed.
Glucosamine.
Echinacea.
Ginger.
The Correct Answer is C
Choice A rationale:
Flaxseed is a rich source of omega-3 fatty acids and can have anti-inflammatory effects. It does not have any known contraindications with SLE.
Choice B rationale:
Glucosamine is often used to support joint health. It is not contraindicated in clients with SLE and may actually provide some benefits in terms of reducing joint pain and stiffness.
Choice C rationale:
Echinacea is an herbal supplement that is often used to boost the immune system. However, in clients with autoimmune disorders like SLE, boosting the immune system can actually exacerbate the disease. Therefore, Echinacea is contraindicated in clients with SLE.
Choice D rationale:
Ginger is a common herbal supplement that is often used for its anti-inflammatory and anti-nausea effects. It does not have any known contraindications with systemic lupus erythematosus (SLE)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.
Choice B rationale:
A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.
Choice C rationale:
A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.
Choice D rationale:
Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.
Correct Answer is D
Explanation
Choice A rationale:
Spreading the ointment in a 10 cm² (4 in) area is not the recommended method for nitroglycerin ointment application. The ointment should be applied over a 6x inch area in a thin, uniform layer.
Choice B rationale:
Massaging the ointment into the skin is not advised. The ointment should be applied in a thin layer and left to absorb into the skin.
Choice C rationale:
Applying the ointment in a thick layer is not recommended. A thin, uniform layer is sufficient for therapeutic effect.
Choice D rationale:
Covering the administration area with plastic wrap is the correct action. This helps to keep the ointment in place and enhances absorption.
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