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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Correct Answer is A

Explanation

A. Double the dose if a dose is missed:
This instruction is incorrect. Clients should not double their dose of allopurinol if they miss a dose. Instead, they should take the missed dose as soon as they remember, unless it is almost time for the next dose. Doubling the dose can lead to overdose and potential side effects.

B. Reduce caffeine and acidic intake:
Reducing caffeine and acidic foods can help manage gout and lower uric acid levels, making this advice appropriate.

C. Avoid taking on an empty stomach:
While allopurinol can be taken with or without food, some clients might find it less irritating if taken with food. This guidance is intended to reduce gastrointestinal discomfort.

D. Consume 2 liters of water daily:
Drinking adequate fluids helps prevent kidney stones and promotes overall kidney health, which is especially important when taking allopurinol. This advice supports effective medication use and overall health.

A. Hematocrit 42% (0.42 volume fraction). B. Hemoglobin 13 g/dL (8.07 mmol/L). C. Positive guaiac of stool. D. Gastric pH 2.0.

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.

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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 receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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