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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Determine daily caffeine intake:
Caffeine can impact sleep, but the primary concern with dextroamphetamine-amphetamine extended-release tablets is their potential to cause insomnia as a side effect. Assessing caffeine intake is secondary but can be considered if other factors are ruled out.

B. Ask about the client's bedtime routine:
The bedtime routine may affect sleep quality, but it is less directly related to the medication's effects compared to the timing of the medication. This information is useful but not as crucial in this context.

C. Determine what time the dose is taken:
The timing of dextroamphetamine-amphetamine administration is crucial because taking the medication too late in the day can interfere with sleep. This medication is known to cause insomnia if taken too close to bedtime, so assessing the timing is most important to address the sleep difficulty.

D. Inquire about perceived anxiety:
Anxiety can affect sleep, but the primary issue with dextroamphetamine-amphetamine extended-release tablets is their known side effect of causing insomnia. Addressing the timing of the medication is more directly related to resolving sleep issues in this case.

A. Apply warm compresses to legs. B. Monitor intake and output. C. Raise the head of the bed. D. Place on cardiac monitoring.

Correct Answer is D

Explanation

A. Apply warm compresses to legs:
While leg cramps can be uncomfortable, addressing them with warm compresses does not address the potential underlying issues related to the client's symptoms, especially considering the possibility of more severe conditions.

B. Monitor intake and output:
Monitoring intake and output is important in managing fluid balance, especially with diuretics like furosemide. However, this action does not directly address the immediate concerns raised by symptoms like palpitations and a cough.

C. Raise the head of the bed:
Raising the head of the bed can be helpful if the client is experiencing shortness of breath or orthopnea. However, it does not address the need to evaluate cardiac function, which is crucial given the presence of palpitations and other symptoms.

D. Place on cardiac monitoring:
The client's symptoms—palpitations, cough, fatigue—could indicate significant electrolyte imbalances or cardiac issues, which are common with furosemide use. Cardiac monitoring is the most appropriate initial action to quickly identify and address any cardiac complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?

Correct Answer is C

Explanation

A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?

Correct Answer is D

Explanation

The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?

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