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chapter 28 and 29 questions
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Which of the following is a major difference between allopathic and complementary and integrative therapies?
a.Allopathic therapies treat the mind, body, and spirit as one entity
b.Allopathic belief is that health is a balance of all body systems
c.Allopathic therapies seek to destroy the invading organism and cure the illness
d.Allopathic therapies emphasize health as opposed to disease
C
A patient informs the nurse that they are interested in using dietary supplements. The nurse provides what advice regarding being an informed consumer: (select all that apply)
a.Be cautious of products that offer a quick fix, such as weight-loss pills
b.Products labeled as "all natural" are typically the safest to use
c.If a product promises to cure a serious illness, it is likely a rip-off
d.It is important to consult your healthcare provider before taking an herb or supplement
e.The FDA regulates all herbs and supplements, so most are safe to use
A,C,D
A major benefit of mind-body practices such as relaxation and meditation is that:
a.They are effective for anyone with an open mind and good attitude
b.Most of these practices can be done anywhere, at any time, with no cost
c.All of these practices relieve stress and reduce pain
d.These practices work best for older adults going through age-related changes
B
A pregnant woman arrives for her routine ultrasound and shares with the nurse that she is struggling with severe nausea. She tells the nurse that she feels like she has tried everything including anti-nausea medications. What is the best response by the nurse?
a."Anti-nausea medications tend to take at least a week to be effective, so keep taking it regularly"
b."Chamomile tea is a great way to help reduce nausea"
c."Consider trying a ginger-scented essential oil which may help reduce your nausea"
d."Taking frequent naps throughout the day when possible is very effective in reducing nausea"
C
A patient comes in for their annual physical and informs the nurse that he recently started taking gingko biloba because he read that it helps improve memory. What is a priority question the nurse should ask?
a."Where did you get the information on this herb?"
b."Are you also currently taking warfarin or aspirin?"
c."Is anyone in your household also using this herb?"
d."Are you currently taking any prescribed antidepressants?"
B
Out of the following people, who would be the best candidate to begin practicing tai chi?
a.An older adult male with a history of falls
b.A teenage girl with severe menstrual cramps
c.An adult woman recently diagnosed with breast cancer
d.An adult male with a high-stress office job
A
There are several different types of yoga. Which yoga uses a studio heated to 105˚ and involves 26 specific postures?
a.Iyengar
b.Kripalu
c.Asthanga
d.Bikram
D
Which of the following questions would be asked when assessing a patient's use of complementary health approaches?
a."Are you currently taking any herbs or supplements?"
b."Do you have any dietary or environmental preferences?"
c."How do you cope with stressors in your life?"
d.A and B only
e.All of the above
D
Which of the following is an example of a generic drug name:
a.Tylenol
b.Ibuprofen
c.Advil
d.Motrin
B
During which process is a medication absorbed into the body's bloodstream?
a.Metabolism
b.Absorption
c.Excretion
d.Distribution
D
A patient is recently prescribed a benzodiazepine for anxiety. The nurse instructs the patient to never take the drug with alcohol because it can severely increase sedation and decrease respirations. This phenomenon is known as:
a.Synergist effect
b.Additive effect
c.Interference
d.Antagonist effect
A
A doctor gives a nurse a stat order of 0.4mg Narcan IM for a patient who has overdosed on opioids. Which action by the nurse is appropriate?
a.Administer the Narcan once as ordered, and not again until the doctor orders it again
b.Administer the Narcan as ordered every time the patient shows symptoms of overdose
c.Only administer the Narcan when the patient's condition worsens
d.Administer that dose of Narcan every 4 hours for any respiratory depression
A
A patient is ordered an enteric-coated capsule of aspirin. What will the nurse teach the patient regarding this drug preparation?
a.Always take this capsule on an empty stomach to prevent GI irritation
b.Never crush or chew this capsule when taking it
c.It is best to break the capsule and mix the contents with water or milk
d.Take an antacid (like TUMS) to help with any GI irritation
B
A nurse is about to administer a flu shot. Which site will she likely use?
a.Deltoid
b.Dorsogluteal
c.Vastus lateralis
d.A or C
e.Any of the above
D
During a morning med pass, an older adult patient gets upset with the nurse because his heart medication pill is blue today. What is the best response by the nurse?
a."It is the same medication you usually take, trust me."
b."What color is the pill you normally take?"
c."Can you tell me the name of your heart medication?"
d."I'm sorry, let me go get the right pill."
C
A nurse sees that the doctor put a new medication order in that reads "Give 250mg of Tylenol Q4 hours PRN for pain". What should the nurse do before administering the medication?
a.Obtain a 250mg tablet of Tylenol from the drawer and check it against the order
b.Call the doctor and clarify the route to be used
c.Draw up 1mL of 250mg IV Tylenol per the instructions on the label then administer
d.Ask the doctor if this medication can be given early if needed
B
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