ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 12 Questions
Question 1 of 5
A patient who uses multiple herbal products is scheduled to undergo knee replacement surgery. The nurse informs the patient that herbs that should be discontinued at least 2-3 weeks before surgery include which of the following?
Correct Answer: A,B,C,E
Rationale: Feverfew, ginger, garlic, and ginkgo biloba all prolong bleeding time and should be discontinued before surgery. Echinacea is usually safe to continue.
Question 2 of 5
A patient who develops frequent upper respiratory infections (URIs) asks the nurse whether any herbal therapies might help. Which of the following should the nurse discuss with this patient?
Correct Answer: B
Rationale: Echinacea may have some benefit in reducing the incidence and duration of the common cold. Ginkgo biloba, ginger, and St. John's wort are useful for other conditions, but they would not be helpful for this patient.
Question 3 of 5
Which of the following data obtained by the nurse during the pre-operative assessment of a patient requires further assessment?
Correct Answer: A
Rationale: Many herbs prolong bleeding time, so further assessment of the types of herbs that are used and how recently they were used is needed before the patient has surgery. The other information given by the patient also requires further assessment but will not affect the timing of the patient's surgery.
Question 4 of 5
Which of the following information should the nurse include when discussing the use of herbal remedies with a patient who uses a variety of herbs for health maintenance?
Correct Answer: A
Rationale: The quality of herb preparations can vary, so it is important that patients purchase herbal remedies from reputable manufacturers. When appropriately used, herbs are generally safe and have fewer adverse effects than conventional medications.
Question 5 of 5
Which of these complementary and alternative therapies should the nurse suggest to a patient who has elevated triglyceride levels?
Correct Answer: A
Rationale: There is evidence that fish oil is helpful in treating hypertriglyceridemia. The other therapies will not be helpful for this patient.