Exam 35: Integrative Care

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A patient tells the nurse,"I've been having problems with my memory.I read some information on the Internet and started taking gingko." Select the nurse's best response.

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B

A patient who emigrated from India is hospitalized.The patient and family use ayurvedic medicine.The nurse wants to alter this patient's care so that it is more comfortable and familiar.What changes from usual Western practice should be considered? Select all that apply.

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A,B,D,E

A patient had a stroke 3 weeks ago and is taking warfarin (Coumadin).When visiting the laboratory for a prothrombin time,the patient reports taking gingko for memory enhancement.Which nursing diagnosis applies?

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B

Select the best desired outcome for a patient who uses valerian.The patient will report:

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A patient diagnosed with depression confidently tells the nurse,"I've been supplementing my paroxetine (Paxil)with St.John's wort.It has helped a great deal." What is the nurse's priority action?

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Which complementary and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?

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A patient tells the nurse,"Look at all my bruises.They appeared about a week after I started taking nutritional supplements from the health food store." The nurse should focus assessment questions on the patient's use of supplements containing:

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Which patient would most likely benefit from taking St.John's wort? A patient with:

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A nurse plans health education for a patient who will be receiving warfarin (Coumadin)for several weeks after knee-replacement surgery.Which substance should the nurse caution the patient to avoid?

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Which important points should the nurse teach a patient about using herbal preparations? Select all that apply.

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A patient tells the nurse,"My memory is not as good as it once was,so I started taking ginkgo biloba." The patient's only other medication is a low-dose aspirin daily.Which potential complication should be the focus of the nursing assessment?

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A patient reports good results from taking an herb to manage migraine headache pain.The nurse confirms there are no hazardous interactions between the herb and the patient's current prescription drugs.Select the nurse's best comment to the patient.

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Which complementary and alternative medicine (CAM)method is associated with using allergy injections of small amounts of an allergen in solution?

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A patient reports,"Last night I had several mixed drinks at a party.When I got home,I had difficulty falling sleep.I made two cups of herbal tea with valerian.This morning,I feel very groggy and have a headache." The nurse should explain that:

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A patient asks,"What is the major difference between conventional health care and complementary and alternative medicine (CAM)?" The nurse's best reply is that conventional health care:

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Acupuncture is a traditional Chinese medical treatment based on the belief that:

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During an assessment interview,a patient who reports a high level of anxiety says,"I've been using kava in small doses for about a week." When the nurse assesses mental status,expected findings would be:

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A patient has tried a variety of complementary and alternative medicine (CAM)approaches to manage health concerns.The nurse asks,"How is going to CAM practitioners different from seeing your medical doctors?" The patient is most likely to respond,"The CAM practitioners:

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A patient reports frequent sleep disturbances.Which interventions could be considered to help improve the patient's sleep pattern? Select all that apply.

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A patient tells the nurse,"I prefer to treat my physical problems with herbs and vitamins.They are natural substances,and natural products are safe." Which response by the nurse would be most appropriate?

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