For the Nursing Exam #3 (Winter 2023), which of the following is an example of allopathic treatment?

Choice A rationale:

A lactose-free diet does not contraindicate acupuncture therapy. Lactose intolerance is a digestive condition that does not affect blood clotting or the ability to receive acupuncture safely.

Acupuncture needles are very fine and do not typically cause bleeding. Even if minor bleeding occurs, it is not a concern for individuals without bleeding disorders.

Therefore, a lactose-free diet does not pose a risk for acupuncture.

Choice B rationale:

Thrombocytopenia is a condition characterized by a low platelet count. Platelets are essential for blood clotting. Acupuncture involves the insertion of needles into the skin. This can cause minor bleeding, even when performed correctly.

In individuals with thrombocytopenia, even minor bleeding can be difficult to control and may lead to excessive bruising or hematoma formation.

Therefore, thrombocytopenia is a contraindication to acupuncture therapy due to the increased risk of bleeding complications.

Choice C rationale:

Herniated lumbar disks are a common condition that can cause back pain. Acupuncture is often used to treat back pain, including pain caused by herniated disks.

Studies have shown that acupuncture can be effective in reducing pain and improving function in patients with herniated disks.

Therefore, the presence of herniated lumbar disks does not contraindicate acupuncture therapy.

Choice D rationale:

Latex and strawberry allergies are not contraindications to acupuncture therapy. Acupuncture needles are typically made of stainless steel, which does not contain latex.

Additionally, acupuncture does not involve the use of strawberries or any other substances that are common allergens. Therefore, latex and strawberry allergies do not pose a risk for acupuncture.

The correct answer is E(None of the Above)

Rationale for E:

The options A, B, C, and D all describe actions or physiological measurements that do not directly indicate an allergic reaction.

Allergic reactions involve the immune system's response to a specific substance, whereas side effects are unintended reactions to a medication that are not caused by an immune response.

Key differences between allergic reactions and side effects:

Allergic reactions:

Typically occur rapidly after exposure to the allergen.

Can involve various body systems, including the skin (hives, itching, rash), respiratory system (wheezing, difficulty breathing, throat tightness), gastrointestinal system (nausea, vomiting, diarrhea), and cardiovascular system (low blood pressure, shock).

May be life-threatening in severe cases, such as anaphylaxis. Side effects:

Can occur at any time during medication use.

Usually more predictable and less severe than allergic reactions.

Often subside as the body adjusts to the medication or with dose adjustments. Important considerations for nurses:

Carefully assess patients for potential allergies before administering medications.

Monitor patients closely for any signs of allergic reactions or side effects after medication administration.

Promptly intervene if an allergic reaction is suspected, following established protocols and administering emergency medications as needed.

Document all observations and actions related to medication administration and patient responses.