Question 1

A high school male athlete reports that he is taking creatine supplements to enhance his athletic performance and bulk up his muscles.Which important teaching point(s) and/or recommendation(s) should be made for this supplement? (Select all that apply.)

Accepted Answer

A)  Adverse effects may include muscle cramping, dehydration, GI bloating, and diarrhea.
B)  Inform the health care provider of usage, should future nephrotoxic medicines be prescribed.
C)  It is important to limit fluid.
D)  Creatine causes a weight gain of 3 to 6 lb because of water retention.
E)  Recommended dosage is 5 to 6 g four times daily for 5 to 7 days, followed by doses of 2 g/day. A, B, D, E

Question 2

Which herb is used to stimulate the innate immune system?

Accepted Answer

A)  Aloe
B)  Echinacea
C)  Chamomile
D)  Ginger B

Question 3

Which statement about dietary supplements is true?

Accepted Answer

A)  Dietary supplements are considered safe and effective.
B)  Dietary supplements have not been tested for safety or efficacy.
C)  There are no serious adverse effects to taking dietary supplements.
D)  Dietary supplements have full FDA and USP approval. B

Question 4

Which is a therapeutic effect of valerian?

Accepted Answer

A)  Lower high-density lipoproteins (HDLs)  and raise low-density lipoprotein (LDLs) 
B)  Prevent infection
C)  Promote relaxation and sleep
D)  Elevate mood

Question 5

What is St.John's wort used to treat?

Accepted Answer

A)  Rheumatoid arthritis
B)  Asthma
C)  Depression
D)  Viral infections

Question 6

A patient calls inquiring about herbal treatment of hypercholesterolemia and other nonpharmaceutical measures to lower his cholesterol level.Which important concept(s) should be included in the response to this patient? (Select all that apply.)

Accepted Answer

A)  Maintain daily dose of black cohosh.
B)  Drink one to four cups of green tea daily.
C)  Ingest one fresh clove of garlic daily.
D)  Maintain daily aspirin dose.
E)  Avoid concurrent use of garlic with ginkgo, ginger, feverfew, and ginseng.

Question 7

A patient diagnosed with diabetes, hypertension, chronic obstructive pulmonary disease, and angina reports to the nurse that she is taking an aloe juice drink to treat constipation.When assessing this patient for adverse interactions, the nurse will prioritize:

Accepted Answer

A)  pulse rate.
B)  blood pressure.
C)  lung sounds.
D)  blood glucose monitoring.

Question 8

Aloe gel for topical use has been marketed to treat which conditions? (Select all that apply.)

Accepted Answer

A)  Sunburn
B)  Psoriasis
C)  Migraine headaches
D)  Pain and inflammation
E)  Itching

Question 9

Which symptom(s) would be consistent with a paradoxical response associated with melatonin use? (Select all that apply.)

Accepted Answer

A)  Drowsiness
B)  Agitation
C)  Insomnia
D)  Poor concentration
E)  Jet lag

Question 10

Which effect(s) can be attributed to green tea? (Select all that apply.)

Accepted Answer

A)  Lower cholesterol
B)  Lower triglycerides and LDLs
C)  Raise HDLs
D)  Lower blood glucose
E)  Preventing calcium lossF) Preventing viral infection

Question 11

Which dietary supplement should be used with extreme caution if the patient is on a platelet inhibitor?

Accepted Answer

A)  Aloe
B)  Ephedra
C)  Green tea
D)  Garlic

Question 12

What is black cohosh used for?

Accepted Answer

A)  Preventing miscarriage during the first trimester
B)  Reducing symptoms of premenstrual syndrome
C)  Providing antispasmodic activity of the gastrointestinal (GI)  system
D)  Controlling migraine headaches

Question 13

The nurse is caring for a 36 year old male patient newly diagnosed with multiple sclerosis (MS).The patient asks if he can continue to take echinacea to help boost his immune system.The nurse's best response is:

Accepted Answer

A)  "Limit use to no more than 8 weeks at a time"
B)  "Echinacea use is not recommended for patients with autoimmune diseases"
C)  "What other medications are you taking?"
D)  "That is a decision that you will need to make independently"

Question 14

The nurse at a health care clinic is educating a patient regarding the use of the supplement ginseng.What information should be conveyed by the nurse? (Select all that apply.)

Accepted Answer

A)  Research has confirmed that ginseng increases the body's resistance to stress.
B)  Ginseng is available in tablet form.
C)  Insomnia can result from ginseng intake.
D)  Ginseng is an aphrodisiac.
E)  Ginseng may affect blood coagulation.

Question 15

The use of which medication would alert the nurse to educate the patient about using ginkgo biloba cautiously?

Accepted Answer

A)  Antiemetics
B)  Anti inflammatories
C)  Anticoagulants
D)  Antibiotics

Question 16

Which herbal medicine may improve a patient's short term memory loss and cognitive function?

Accepted Answer

A)  Ginger
B)  Green tea
C)  Feverfew
D)  Ginkgo biloba extract

Exam 48: Herbal and Dietary Supplement Therapy