The patient requests information on alternative treatments for her arthritis. The nurse provides the patient with information on which of the following supplements?

Fish oil

DHEA

Garlic and soy

Chondroitin and glucosamine

Answer and Explanation

The Correct Answer is D

A. Fish oil: While fish oil has some evidence for reducing inflammation, the evidence for its effectiveness in treating arthritis is mixed.

B. DHEA: DHEA is a hormone and there is not enough evidence to support its use for arthritis.

C. Garlic and soy: While garlic and soy have some general health benefits, there is no strong evidence they are effective for treating arthritis.

D. Chondroitin and glucosamine: These supplements are the most studied option for arthritis and some studies have shown they may provide modest pain relief, although the evidence is not conclusive.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Alteplase (Activase): Alteplase is a thrombolytic agent used to dissolve blood clots. Concurrent use with clopidogrel, an antiplatelet medication, can increase the risk of bleeding due to additive effects on clotting. Therefore, it's important to consult the doctor before using these medications together.

B. Diltiazem: Diltiazem is a calcium channel blocker used to treat hypertension and certain heart rhythm disorders. Diltiazem will decrease the level or effect of clopidogrel by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Therefore, it's advisable to consult the doctor before using these medications together.

C. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and inflammation. Like other NSAIDs, it can increase the risk of bleeding when taken with clopidogrel. Therefore, it's important to consult the doctor before using these medications together.

D. Aspirin: Aspirin is another antiplatelet medication commonly used to prevent heart attacks and strokes. Combining clopidogrel with aspirin can increase the risk of bleeding without significantly improving outcomes in most cases. However, in some situations, such as after certain cardiac procedures, dual antiplatelet therapy (clopidogrel plus aspirin) may be prescribed under close medical supervision. Therefore, it's crucial to consult the doctor before using these medications together.

E. Coumadin (warfarin): Coumadin is an anticoagulant medication used to prevent blood clots. Concurrent use with clopidogrel can increase the risk of bleeding. Therefore, it's essential to consult the doctor before using these medications together.

A. Reduced cardiac output B. Abnormal coagulation C. Electrolyte imbalance D. Respiratory issues

Correct Answer is B

Explanation

A. Reduced cardiac output: While liver disease can affect circulation in later stages, abnormal coagulation is a more immediate concern.

B. Abnormal coagulation: The liver plays a vital role in producing proteins essential for blood clotting. Liver damage can impair this function, leading to increased bleeding risk.

C. Electrolyte imbalance: The liver plays a role in some aspects of electrolyte balance, but abnormal coagulation is a more specific and critical complication in early liver damage.

D. Respiratory issues: While liver disease can progress to respiratory complications in severe cases, abnormal coagulation is a more immediate threat.

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The patient requests information on alternative treatments for her arthritis. The nurse provides the patient with information on which of the following supplements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is reviewing the laboratory report of a client and realizes the liver function tests are elevated, indicating liver damage. The client should be monitored for which potential complication?

Correct Answer is B

Explanation

Patients often use herbal therapies for which of the following reasons?

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Which of the following statements would most likely NOT be allowed on the label of a dietary supplement?

A nurse is reinforcing teaching for a client who has a new prescription for warfarin. Which of the following information should the nurse include?

A patient is receiving alteplase (Activase), a thrombolytic drug. The nurse monitors the patient for which of the following possible adverse effects?

is the stopping of blood flow, an essential mechanism protecting the body from both external and internal injury.

Why is it important for the nurse to collect information from the patient about the use of complementary and alternative medicine (CAM)?

The nurse responds to the client's questions about CAM therapies and explains that some have been popular for centuries in treating conditions of the body and mind including which of the following? (Select All that Apply.)