The patient presenting to the clinic for coldlike symptoms tells ...

[RODY.ELKHALIL]

The patient presenting to the clinic for coldlike symptoms tells the nurse she has been taking echinacea for three weeks.
 
  During history taking, what information is it important for the nurse to know with regard to contraindications related to taking echinacea? a. Has the patient been experiencing headaches?
  b. Does the patient have diabetes or asthma?
  c. Has the patient had gastrointestinal disturbances?
  d. Is the patient taking oral contraceptives?

Question 2

A patient comes to the emergency department with a puncture wound. What is the primary danger of a puncture wound?
 
  a. Superficial blood loss
  b. Infection and internal bleeding
  c. Scarring from secondary intention
  d. Difficulty in removing a foreign body

[IAPPLET]

Answer to Question 1

B

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A Headaches are not listed as a contraindication to taking echinacea. Headaches may be caused by taking valerian.
B Echinacea is contraindicated in patients with diabetes, asthma, cancer, autoimmune disease, multiple sclerosis, tuberculosis, leukemia, human immunodeficiency virusacquired immunodeficiency syndrome, lupus, or allergies to the daisy family, and should not be used for longer than eight weeks.
C Gastrointestinal disturbance is not listed as a contraindication to taking echinacea. Gastrointestinal disturbance may be caused by taking valerian.
D Taking oral contraceptives is not listed as a contraindication to taking echinacea. Oral contraceptives may interact with saw palmetto.

Answer to Question 2

B

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A Superficial blood loss is not considered a primary danger in this example.
B The primary dangers of puncture wounds are infection and internal bleeding.
C Scarring is not considered a primary danger in this example.
D Foreign body removal is not considered a primary danger in this example.