A patient reports to the nurse that last night she had difficulty ...

[Shelles]

A patient reports to the nurse that last night she had difficulty falling sleep after a social evening with friends, during which she consumed several alcoholic drinks.
 
  When unable to fall sleep after half an hour in bed, she brewed herself two cups of herbal tea containing valerian. In the morning, she awakened feeling very groggy and with a severe headache. The nurse should explain that: a. valerian should be taken at least 1 hour after any alcohol to avoid side effects.
  b. the side effects are really a hangover from her excessive alcohol use.
  c. valerian may worsen the sedation from other central nervous system depressants.
  d. herbal teas usually cause nervous system side effects such as headaches.

Question 2

When assessing a 2-year-old with suspected autistic disorder, a nurse would expect:
 
  a. hyperactivity and attention deficits.
  b. failure to develop interpersonal skills.
  c. a history of disobedience and destructive acts.
  d. high levels of anxiety when separated from the parent.

[softEldritch]

Answer to Question 1

C
Valerian has sedative properties that are potentiated when used in combination with other central nervous system depressants, and headaches are another possible side effect of this herbal medicine. The nurse should advise caution in ingesting alcohol and valerian for these reasons. Taking valerian an hour after alcohol will not prevent these interactions, and it is likely that the valerian played a role in her feeling perhaps worse than usual after this episode of drinking. Herbal teas cause headaches in some cases, but it is not characteristic of this group of herbal remedies.

Answer to Question 2

B
Autistic disorder involves distortions in development of social skills and language that include perception, motor movement, attention, and reality testing. Caretakers nearly always mention the child's failure to develop interpersonal skills. The distracters are more relevant to ADHD, separation anxiety, and conduct disorder.

[Shelles]

Correct answers!

[softEldritch]

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