During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?

Changes in weight.

Recent symptoms of infection.

Sleep disturbances.

Forgetfulness.

Answer and Explanation

The Correct Answer is B

A) Changes in weight: While changes in weight can be important in assessing overall health, they are not specifically linked to the use of goldenseal. This information may be relevant for general health assessment but does not directly relate to potential effects of the herbal supplement.
B) Recent symptoms of infection: Goldenseal is often used for its antimicrobial properties, and its use might affect the body's response to infection. Gathering information about recent symptoms of infection helps in assessing if there might be an interaction between the herbal supplement and the client’s current health status, especially since goldenseal can impact immune response and may interfere with other medications used for infections.
C) Sleep disturbances: While sleep disturbances can be a concern in older adults, they are not directly related to the use of goldenseal. This information may be useful for general health assessments but does not specifically address potential interactions or side effects of goldenseal.
D) Forgetfulness: Forgetfulness, although important, is not directly related to the use of goldenseal. This symptom might warrant further evaluation but is not the primary concern regarding the use of this herbal supplement.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Gout: Aspirin is not typically used for treating gout. Gout is commonly treated with medications like allopurinol or colchicine, and nonsteroidal anti-inflammatory drugs (NSAIDs) are used selectively.
B. Sepsis: Aspirin is not a primary treatment for sepsis. Sepsis is usually treated with antibiotics, fluid resuscitation, and supportive care.
C. Myocardial infarction: Aspirin is beneficial for preventing further myocardial infarctions (heart attacks) in patients with a history of cardiovascular events or at high risk. It works by inhibiting platelet aggregation, thereby reducing the risk of blood clot formation that can lead to heart attacks.
D. Rheumatoid arthritis: Although aspirin can be used for symptomatic relief in rheumatoid arthritis due to its anti-inflammatory properties, it is not the primary treatment. Other medications, such as disease-modifying antirheumatic drugs (DMARDs) and nonsteroidal anti-inflammatory drugs (NSAIDs), are typically used.

A. Ensure that the client eats breakfast. B. Provide a mid-afternoon snack for the client. C. Assess the client for hypoglycemia around 1500. D. Perform a glucometer reading at 1000.

Correct Answer is A

Explanation

A. Ensure that the client eats breakfast: Regular insulin is a fast-acting insulin that typically begins to work within 30 minutes to an hour after administration, peaks around 2-3 hours, and can last for up to 6 hours. Therefore, it is crucial that the client eats a meal, such as breakfast, shortly after the insulin is administered to prevent hypoglycemia.
B. Provide a mid-afternoon snack for the client: While snacks may be necessary depending on the client's overall meal and insulin schedule, it is more critical to ensure the client eats the meal immediately following insulin administration to manage blood glucose levels.
C. Assess the client for hypoglycemia around 1500: While monitoring for hypoglycemia is important, it is more critical to ensure the client eats their meal soon after insulin administration to prevent hypoglycemia in the first place.
D. Perform a glucometer reading at 1000: A glucometer reading at 1000 might be useful for monitoring blood glucose levels but ensuring that the client eats a meal promptly is a more immediate and critical action following insulin administration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?

Correct Answer is C

Explanation

The nurse is caring for a client receiving regular insulin prescribed per a sliding scale. If a dose of regular insulin is administered at 0730, which additional nursing action is indicated for this client?

Correct Answer is A

Explanation

The nurse is administering the angiotensin II receptor antagonist valsartan. Which physiological response causes its therapeutic effect?

During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?

A patient with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in the patient's plan of care?

The nurse is assessing a client who was recently diagnosed with Parkinson's disease (PD) and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?

Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?

A client who has dysphagia after a cerebral vascular accident (CVA) receives a new prescription for lansoprazole capsules via nasogastric tube (NGT). Which action should the nurse implement prior to administering the medication?

The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?

The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapuetic period after administration of the eye drops?