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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I need to increase my fluid intake." - This is a correct statement. Sucralfate should be taken with plenty of water to ensure proper absorption and effectiveness.
B. "I need to report pain or vomiting of blood." - This is also a correct statement. Severe abdominal pain or vomiting of blood may indicate a serious issue and should be reported to the healthcare provider.
C. "I need to take Carafate 30 minutes after meals." - This is an incorrect statement. Sucralfate is typically taken on an empty stomach, about 1 hour before meals and at bedtime.
D. "I need to take Maalox 30 minutes before or after Carafate." - This statement is correct. Antacids like Maalox can interfere with the absorption of sucralfate. It's generally recommended to space them apart, taking sucralfate at least 30 minutes before or after antacids.
Correct Answer is A
Explanation
A. Misoprostol (Cytotec)
The patient complaining of gastric distress from NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) like aspirin or indomethacin may benefit from the administration of misoprostol (Cytotec). Misoprostol is a prostaglandin analog that helps protect the stomach lining and reduce the risk of NSAID-induced gastric ulcers.
B. Lansoprazole (Prevacid)
Lansoprazole is a proton pump inhibitor (PPI) that reduces stomach acid production. While PPIs can be used for certain acid-related conditions, they do not directly protect against NSAID-induced gastric distress.
C. Magaldrate (Riopan)
Magaldrate is an antacid that neutralizes stomach acid. It may provide relief from symptoms of indigestion but does not specifically address the gastric distress caused by NSAIDs.
D. Magnesium trisilicate (Gaviscon)
Magnesium trisilicate is an antacid that helps neutralize stomach acid. Like magaldrate, it may alleviate symptoms of indigestion but does not target the underlying issue of NSAID-induced gastric distress.
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