The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?
Many of the herbal preparations are helpful primarily because of their placebo effect.
This product is essentially harmless but also is not very beneficial in treating skin infections.
Topical echinacea is usually used to soothe burns and can cause damage to the skin.
Echinacea seems to be useful in the treatment of some infections, such as canker sores.
The Correct Answer is D
A. Many of the herbal preparations are helpful primarily because of their placebo effect:
While placebo effects can play a role, many herbal preparations, including echinacea, have been studied for their potential therapeutic benefits beyond placebo effects. This statement oversimplifies and may dismiss valid efficacy.
B. This product is essentially harmless but also is not very beneficial in treating skin infections:
Echinacea is generally considered safe for topical use and has been used for various infections, including canker sores. This statement underestimates the potential benefits of echinacea in treating certain conditions.
C. Topical echinacea is usually used to soothe burns and can cause damage to the skin:
Topical echinacea is commonly used for various skin conditions, but it is not typically associated with causing skin damage. The statement may create unnecessary concern.
D. Echinacea seems to be useful in the treatment of some infections, such as canker sores:
Echinacea has been used traditionally and in some studies for its antimicrobial properties, which may be beneficial for certain infections, including canker sores. This statement acknowledges its potential utility without dismissing its benefits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hematocrit 42% (0.42 volume fraction):
A hematocrit of 42% is within the normal reference range for males (42% to 52%). While it is important to monitor hematocrit levels, this finding alone does not indicate an immediate issue.
B. Hemoglobin 13 g/dL (8.07 mmol/L):
A hemoglobin level of 13 g/dL is slightly below the normal range for males (14 to 18 g/dL). However, it is not critically low and may not require immediate intervention without additional context or symptoms.
C. Positive guaiac of stool:
A positive guaiac test for stool indicates the presence of occult blood in the stool, which could suggest gastrointestinal bleeding. Given the client's history of heartburn, indigestion, and use of ibuprofen (a nonsteroidal anti-inflammatory drug that can cause gastrointestinal bleeding), this finding is concerning and should be reported immediately to the healthcare provider for further evaluation and management.
D. Gastric pH 2.0:
A gastric pH of 2.0 is within the normal range for gastric acid, as the normal pH of gastric acid typically ranges from 1.5 to 3.5. This finding is expected and does not indicate an immediate problem related to the client's symptoms.
Correct Answer is B
Explanation
A) Migraine headaches: While migraine headaches are significant for overall health management, they are less directly related to the risks associated with NSAID use compared to other conditions. Migraines do not typically influence the safety profile of NSAIDs.
B) Chronic alcoholism: Chronic alcoholism is a major concern because it significantly increases the risk of gastrointestinal complications with NSAID use. NSAIDs can cause gastric irritation, bleeding, and ulcers, and alcohol can exacerbate these risks, leading to severe gastrointestinal issues or liver damage.
C) Osteoarthritis: Osteoarthritis is a common indication for NSAID use and, therefore, does not pose an additional risk specific to the medication. NSAIDs are often prescribed to manage pain and inflammation associated with osteoarthritis.
D) Type 2 diabetes mellitus: Although diabetes mellitus requires careful management, it does not directly increase the risk of NSAID-related complications. However, clients with diabetes need to be monitored for overall health and medication effects, but chronic alcoholism poses a more immediate risk for NSAID use.
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