Which herbal supplement is likely to exacerbate symptoms for a patient with rheumatoid arthritis?

Echinacea

Turmeric

Ginger

Valerian

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Echinacea: It has anti-inflammatory properties and is not typically associated with exacerbating rheumatoid arthritis symptoms. Studies have shown potential benefits in reducing inflammation, including evidence of possible effectiveness for osteoarthritis and rheumatoid arthritis. However, more research is needed to confirm its efficacy and safety in rheumatoid arthritis.

Choice B rationale:

Turmeric:

Curcumin, the active component of turmeric, has both anti-inflammatory and pro-inflammatory effects.

While it has potential benefits for some inflammatory conditions, it can also stimulate the immune system, which could worsen rheumatoid arthritis symptoms in certain individuals.

Studies have shown mixed results, with some indicating potential benefits and others suggesting a possible worsening of symptoms.

Due to this uncertainty, caution is advised, and patients with rheumatoid arthritis should consult with their healthcare providers before using turmeric supplements.

Choice C rationale:

Ginger: It has well-documented anti-inflammatory properties and is not known to exacerbate rheumatoid arthritis symptoms.

Studies have shown ginger to be potentially effective in reducing pain and inflammation in individuals with rheumatoid arthritis.

It is generally considered safe for use in this population.

Choice D rationale:

Valerian: It is a herb primarily used for its sedative and sleep-promoting effects.

It has not been shown to have any significant impact on inflammation or rheumatoid arthritis symptoms. There is no evidence to suggest that it would worsen the condition.

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Correct Answer is A

Explanation

Step 1: Convert the prescribed dose to milligrams. 400 mcg = 0.4 mg (since 1 mg = 1000 mcg)

Step 2: Compare the prescribed dose to the pill strength. The prescribed dose is 0.4 mg.

The pill strength is 0.4 mg.

Step 3: Determine the number of pills needed.

Since the prescribed dose and pill strength are equal, only one pill is needed to administer the correct dose.

Rationale for Choice A:

Correct: One pill of 0.4 mg will provide the exact dose of 400 mcg that has been prescribed.

Direct match: The pill strength matches the prescribed dose, eliminating the need for any calculations or adjustments.

Therapeutic equivalence: Administering one pill ensures that the patient receives the intended amount of medication to achieve the desired therapeutic effect.

Adherence to prescription: Conforms to the healthcare provider's instructions, promoting accurate and safe medication administration.

A. Burning dried herbs to relieve chronic abdominal pain and diarrhea. B. Use of tai chi exercises to relieve chronic back pain. C. Prescription of antibiotic medication for a bacterial infection. D. Manipulation of the spine to relieve migraine headaches.

Correct Answer is C

Explanation

Choice A rationale:

Burning dried herbs is a form of traditional medicine, not allopathic medicine.

Traditional medicine encompasses a wide range of practices and therapies that have been used for centuries across different cultures.

It often relies on natural substances and processes, such as herbs, acupuncture, and massage, to promote healing and well- being.

While traditional medicine can offer valuable benefits, it's important to note that it's not always based on scientific evidence and its efficacy can vary depending on the specific practice and condition being treated.

Choice B rationale:

Tai chi exercises are a form of complementary and alternative medicine (CAM), not allopathic medicine.

CAM encompasses a diverse group of therapies that are not considered part of mainstream conventional medicine. Tai chi is a mind-body practice that involves gentle, flowing movements and deep breathing.

It has been shown to offer a range of health benefits, including reducing stress, improving balance, and easing pain.

However, it's important to note that tai chi is not a cure-all and should not be used as a substitute for conventional medical care when necessary.

Choice C rationale:

Prescription of antibiotic medication is a hallmark of allopathic medicine.

Allopathic medicine, also known as conventional or Western medicine, is based on the scientific understanding of the body and disease.

It focuses on diagnosing and treating specific diseases or conditions using medications, surgery, or other interventions that have been proven effective through rigorous scientific research.

Antibiotics are a type of medication that specifically targets and kills bacteria.

They are essential for treating bacterial infections, which can cause a wide range of illnesses, from minor skin infections to life- threatening pneumonia.

Choice D rationale:

Manipulation of the spine, also known as chiropractic care, is a form of CAM, not allopathic medicine. Chiropractic care focuses on the musculoskeletal system, particularly the spine.

Chiropractors use manual adjustments to the spine to relieve pain, improve range of motion, and restore function.

While some studies have shown that chiropractic care can be effective for certain conditions, such as lower back pain, it's important to note that it's not a cure-all and should not be used as a substitute for conventional medical care when necessary.

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Which herbal supplement is likely to exacerbate symptoms for a patient with rheumatoid arthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient has been prescribed Synthroid 400 mcg pills to be taken orally. The pills supplied are 0.4 mg each.How many pills should be administered?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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