ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 9 : Integrative Medicine and Alternative Therapies Questions
Question 1 of 5
The client is presently taking a multivitamin and is considering adding a supplement with extra vitamin A to promote eye health. Which is the best response by the nurse?
Correct Answer: B
Rationale: Reviewing the vitamin containers will provide the nurse and client with information on the dosages and whether they fall within the RDA. This can also provide an opportunity for further teaching. Asking the client why they feel the need to take vitamins is not the best response because it can imply that the client has made a wrong decision to take vitamins. The Dietary Supplement Health and Education Act of 1994 was passed to 'preserve the consumer's right to choose dietary supplements.' Some vitamins do have toxic effects, including Vitamin A, which is why the best response is for the nurse to review the bottles with the client.
Then the nurse can see if the dosage is appropriate or not. Although Vitamin A is associated with improved vision, asking if the client is experiencing vision problems is not the best response.
Question 2 of 5
The nurse is concerned when the prothrombin time (PT) for a client receiving warfarin is fluctuating beyond normal range. The client also takes several herbal supplements. The nurse suspects which supplement to be the cause of this elevation?
Correct Answer: A
Rationale: Combining garlic with other anticoagulants can prolong bleeding. Saw palmetto is used to treat enlarged prostate and has no effects on bleeding. Kava is used to treat anxiety and stress and does not affect bleeding. Capsicum is used to relieve neuralgic and bladder pain, and as an antipruritic for psoriasis.
Question 3 of 5
Which key information can the nurse provide to the client regarding the health-related benefits of herbals and botanicals? Select all that apply.
Correct Answer: A,D
Rationale: Herbal therapy is one of the greatest risk factors for adverse effects when combined with other conventional drugs. Some herbs have been placed on the 'unsafe' list due to known impurities and adverse effects, even though all herbs are considered natural. Herbs can be used to treat some acute illnesses. Herbal therapy is not regulated by the FDA.
Question 4 of 5
Which type of therapy is speculated to affect the ion exchange of electrolytes, such as calcium, sodium, and potassium?
Correct Answer: A
Rationale: Electromagnetic therapy is speculated to influence ion exchange of electrolytes, such as calcium, sodium, and potassium. Shiatsu uses acupoints, and yoga uses exercises for therapy. Hypnosis is not known to affect ions in the body.
Question 5 of 5
A client is seen in the clinic regarding chronic lower back pain. The client asks the nurse if treatment by a chiropractor might alleviate some of the client's discomfort. What information should the nurse include in the response?
Correct Answer: C
Rationale: According to chiropractic theory, misalignment of the spinal vertebrae changes activities of nerves that control body functions in distant organs. This may lead to diseases. Spinal manipulation treats the disorders by correcting the alignment of the vertebrae. Chiropractic therapy treats not only the feet and hands but also the back. Massage improves circulation, but this is not the main job of the chiropractor. Channeling universal energy happens in Reiki, not with a chiropractor.