A patient presents to the emergency department complaining of a severe headache. She is diaphoretic and is unable to sit still. Her family tells the nurse that the client has been taking "some herb." Which herb does the nurse suspect the client has been taking?

Ephedra

Feverfew

Garlic

St. John's wort

Answer and Explanation

The Correct Answer is A

A. Ephedra:

Ephedra is an herb that contains ephedrine, a stimulant known to cause symptoms such as severe headache, diaphoresis, and restlessness. Ephedrine has been associated with cardiovascular side effects, leading to its restriction or banning in many countries.

B. Feverfew:

Feverfew is an herb commonly used for migraine prevention. It is not typically associated with severe headache, diaphoresis, or restlessness. Instead, it is known for its potential benefits in reducing the frequency and severity of migraines.

C. Garlic:

Garlic is an herb often used for various health purposes, including cardiovascular health. It is not known to cause severe headache, diaphoresis, or restlessness.

D. St. John's Wort:

St. John's Wort is an herb commonly used for mood-related conditions, such as mild to moderate depression. It is not associated with the symptoms described, and its primary effects are related to mood regulation.

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Correct Answer is ["C","D"]

Explanation

A. Administer morphine 1-2 mg IV

Administering morphine is not a preventive measure for spinal headaches. It may be considered for pain relief if the patient experiences discomfort after the effects of spinal anesthesia wear off.

B. Ambulate the client as soon as she gets feelings back

Ambulating the patient too soon after spinal anesthesia is generally not recommended. Staying in bed initially helps prevent complications like spinal headaches.

C. Increase fluid intake

Adequate hydration is important after spinal anesthesia to help maintain cerebrospinal fluid volume. Increasing fluid intake can reduce the risk of developing a spinal headache.

D. Encourage the patient to stay flat in bed

Remaining in a flat or slightly elevated position helps minimize cerebrospinal fluid leakage from the puncture site, reducing the likelihood of developing a spinal headache. This position is typically recommended for a specific duration after spinal anesthesia.

E. Position the client in high Fowler's position

Placing the patient in high Fowler's position (sitting upright) may increase the risk of cerebrospinal fluid leakage, potentially leading to a spinal headache. This position is not recommended for preventing spinal headaches after spinal anesthesia.

A. Blood dyscrasias B. Hyperglycemia C. Urinary retention D. Gingival hyperplasia E. Sedation

Correct Answer is ["A","D"]

Explanation

A. Blood dyscrasias: This is a correct choice. Phenytoin can cause blood dyscrasias, including conditions like leukopenia, thrombocytopenia, and anemia.

B. Hyperglycemia: This is not typically associated with phenytoin. The primary adverse effects related to blood sugar are usually changes in glucose metabolism or hypoglycemia.

C. Urinary retention: This is not a common adverse effect of phenytoin. It is more associated with other medications or medical conditions.

D. Gingival hyperplasia: This is a correct choice. Phenytoin is known to cause gingival hyperplasia, which is an overgrowth of the gum tissue.

E. Sedation: This is not a common adverse effect of phenytoin. Phenytoin is more known for causing CNS-related side effects like nystagmus, ataxia, and dizziness.

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A patient presents to the emergency department complaining of a severe headache. She is diaphoretic and is unable to sit still. Her family tells the nurse that the client has been taking "some herb." Which herb does the nurse suspect the client has been taking?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? Select All That Apply

Correct Answer is ["C","D"]

Explanation

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Correct Answer is ["A","D"]

Explanation

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