Question 1

49.The one characteristic that all alternative therapies have in common is:

Accepted Answer

A) their effectiveness. 
B) research as to their safety. 
C) a lack of evidence about their effectiveness. 
D) the absence of any interactions or effects with mainstream medical care. 
A) their effectiveness. 
B) research as to their safety. 
C) a lack of evidence about their effectiveness. 
D) the absence of any interactions or effects with mainstream medical care.

Question 2

Populations with increased vulnerability to the adverse effects of drugs include all of the following except:

Accepted Answer

A) elderly people. 
B) pregnant women. 
C) middle-aged women. 
D) children. 
A) elderly people. 
B) pregnant women. 
C) middle-aged women. 
D) children.

Question 3

Which herb has been found to inhibit the action of oral contraceptives?

Accepted Answer

A) St.John's wort 
B) garlic 
C) ginseng 
D) kava 
A) St.John's wort 
B) garlic 
C) ginseng 
D) kava

Question 4

nurse recognizes that a patient placed on the anticoagulant drug warfarin will need:

Accepted Answer

A) supplements of vitamin K. 
B) a high-kcalorie diet. 
C) education regarding diet-drug interactions. 
D) education regarding increasing iron intake. 
A) supplements of vitamin K. 
B) a high-kcalorie diet. 
C) education regarding diet-drug interactions. 
D) education regarding increasing iron intake.

Question 5

Which herb can intensify the action of warfarin (Coumadin)?

Accepted Answer

A) kava 
B) saw palmetto 
C) garlic 
D) echinacea 
A) kava 
B) saw palmetto 
C) garlic 
D) echinacea

Question 6

Consistency in herbal supplements is not guaranteed because:

Accepted Answer

A) no manufacturers have attempted to standardize them. 
B) they are natural substances, so there can be no consistency. 
C) growing conditions can affect the plants' chemical composition. 
D) the active ingredient in an herb must be isolated to be effective. 
A) no manufacturers have attempted to standardize them. 
B) they are natural substances, so there can be no consistency. 
C) growing conditions can affect the plants' chemical composition. 
D) the active ingredient in an herb must be isolated to be effective.

Question 7

Which of the following types of drugs may cause unintentional weight gain?

Accepted Answer

A) antipsychotics 
B) antiretrovirals 
C) antinauseants 
D) antibiotics 
A) antipsychotics 
B) antiretrovirals 
C) antinauseants 
D) antibiotics

Question 8

individual taking INH should also take supplements of:

Accepted Answer

A) folate. 
B) vitamin B₆. 
C) vitamin B₁₂. 
D) iron. 
A) folate. 
B) vitamin B₆. 
C) vitamin B₁₂. 
D) iron.

Question 9

Anticonvulsant medications may increase levels of enzymes that metabolize all of these vitamins except:

Accepted Answer

A) vitamin A. 
B) folate. 
C) vitamin D. 
D) vitamin K. 
A) vitamin A. 
B) folate. 
C) vitamin D. 
D) vitamin K.

Question 10

Which food should not be eaten in a tyramine-controlled diet?

Accepted Answer

A) tomatoes 
B) liver 
C) cucumbers 
D) pork sausage 
A) tomatoes 
B) liver 
C) cucumbers 
D) pork sausage

Question 11

There are no known interactions between herbal supplements and medications.

Accepted Answer

A) True 
 B)False

Question 12

patient is taking an MAO inhibitor and is on a tyramine-controlled diet.Which of the following foods should be avoided?

Accepted Answer

A) American cheese 
B) peanuts 
C) mushrooms 
D) spinach 
A) American cheese 
B) peanuts 
C) mushrooms 
D) spinach

Question 13

Medication errors may be the result of any of the following except:

Accepted Answer

A) improper dosages. 
B) misinterpretation of the physician's order. 
C) confusion of drugs with similar names. 
D) bar code scanning systems. 
A) improper dosages. 
B) misinterpretation of the physician's order. 
C) confusion of drugs with similar names. 
D) bar code scanning systems.

Question 14

Case Study Questions
Use the following case study to answer questions 
Jose Salazar has been hospitalized following a motor vehicle accident.He has several broken bones, including his left jaw, two ribs on the left side, and a compound fracture of his left leg.According to his medical record, he is 47 years old, his height is 5'9", and his weight is 171 pounds.During the course of his hospital stay, he was diagnosed with a heart arrhythmia.His current medications include lovastatin to lower his cholesterol, an MAO inhibitor to treat depression, and an analgesic to treat his pain.Mr.Salazar's wife also reports that he takes several herbal products including, yohimbe, kava kava, valerian, and St.John's wort.
-Salazar will be discharged with analgesic medications to control his pain.Which herbal products should he be advised to quit taking because of the potential for interaction?

Accepted Answer

A) yohimbe and valerian 
B) kava kava and valerian 
C) St.John's wort and yohimbe 
D) valerian and St.John's wort 
A) yohimbe and valerian 
B) kava kava and valerian 
C) St.John's wort and yohimbe 
D) valerian and St.John's wort

Question 15

Physicians who practice integrative medicine may refer patients for complementary therapies while continuing to provide standard treatments.

Accepted Answer

A) True 
 B)False

Question 16

Which population group is most prone to drug-drug interactions?

Accepted Answer

A) infants 
B) children 
C) the elderly 
D) the disabled 
A) infants 
B) children 
C) the elderly 
D) the disabled

Question 17

Which of the following is a form of traditional Chinese medicine?

Accepted Answer

A) bioelectromagnetic therapy 
B) acupuncture 
C) chiropractic 
D) therapeutic touch 
A) bioelectromagnetic therapy 
B) acupuncture 
C) chiropractic 
D) therapeutic touch

Question 18

People taking lithium are advised to maintain a consistent intake of _____ from day to day in order to maintain a stable blood level of lithium.

Accepted Answer

A) calcium 
B) zinc 
C) sodium 
D) alcohol 
A) calcium 
B) zinc 
C) sodium 
D) alcohol

Question 19

Which herb can raise the likelihood of bleeding when used in conjunction with anticoagulant drugs?

Accepted Answer

A) ginseng 
B) ephedra 
C) kava 
D) valerian 
A) ginseng 
B) ephedra 
C) kava 
D) valerian

Question 20

Supplements of _____ are usually given to patients receiving the antituberculosis drug isoniazid.

Accepted Answer

A) iron 
B) vitamin B₆ 
C) vitamin B₁₂ 
D) folate 
A) iron 
B) vitamin B₆ 
C) vitamin B₁₂ 
D) folate

Exam 15: Medications, Diet-Drug Interactions, and Herbal Supplements

49.The one characteristic that all alternative therapies have in common is:

Populations with increased vulnerability to the adverse effects of drugs include all of the following except:

Which herb has been found to inhibit the action of oral contraceptives?

nurse recognizes that a patient placed on the anticoagulant drug warfarin will need:

Which herb can intensify the action of warfarin (Coumadin)?

Consistency in herbal supplements is not guaranteed because:

Which of the following types of drugs may cause unintentional weight gain?

individual taking INH should also take supplements of:

Anticonvulsant medications may increase levels of enzymes that metabolize all of these vitamins except:

Which food should not be eaten in a tyramine-controlled diet?

There are no known interactions between herbal supplements and medications.

patient is taking an MAO inhibitor and is on a tyramine-controlled diet.Which of the following foods should be avoided?

Medication errors may be the result of any of the following except:

Physicians who practice integrative medicine may refer patients for complementary therapies while continuing to provide standard treatments.

Which population group is most prone to drug-drug interactions?

Which of the following is a form of traditional Chinese medicine?

People taking lithium are advised to maintain a consistent intake of _____ from day to day in order to maintain a stable blood level of lithium.

Which herb can raise the likelihood of bleeding when used in conjunction with anticoagulant drugs?

Supplements of _____ are usually given to patients receiving the antituberculosis drug isoniazid.

Overview of Nutrition and Health

Carbohydrates

Lipids

Protein

Digestion and Absorption

Metabolism, Energy Balance, and Body Composition

Weight Management: Overweight and Underweight

The Vitamins

Water and the Minerals

Fitness and Nutrition

Nutrition Through the Life Span: Pregnancy and Lactation

Nutrition Through the Life Span: Infancy, Childhood, and Adolescence

Nutrition Through the Life Span: Later Adulthood

Illness and Nutrition Care

Specialized Nutrition Support: Enteral and Parenteral Nutrition

Foods and Food Consistency for Upper Gi Disorders

Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders

Carbohydrate- and Fat-Modified Diets for Malabsorption Disorders

Nutrition Therapy for Liver and Gallbladder Diseases

Carbohydrate-Controlled Diets for Diabetes Mellitus

Fat-Controlled, Mineral-Modified Diets for Cardiovascular Diseases

Protein-, Mineral-, and Fluid-Modified Diets for Kidney Diseases

Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

Energy- and Protein-Modified Diets for Cancer and Hiv Infection

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