The nurse is teaching a client who is being discharged from the ...

[saraeharris]

The nurse is teaching a client who is being discharged from the hospital. The client will be going home on morphine sulfate therapy.
 
  The client tells the nurse that at home, the client was using St. John's wort as a natural treatment for depression, and asks if it is all right to continue taking this herb. What is the nurse's best response?
  1. If it is a natural substance, it should be OK, and you should not have to worry about any drug interactions.
  2. Why are you using an herb? You could treat your depression better with conventional medication.
  3. St. John's wort can decrease the analgesic effect of morphine sulfate. You might want to wait until you no longer need pain management.
  4. As long as you don't take them at the same time, you should be OK. Just space them about two hours apart.

Question 2

The nurse has just taken a job in a hospital that cares for an ethnically diverse population and is concerned about being culturally sensitive. How should the nurse plan to manage caring for clients in pain?
 
  Standard Text: Select all that apply.
  1. Treat all clients alike.
  2. Listen carefully as the client's comments about pain are translated.
  3. Show respect for the client's preferences even if they are very different from the nurse's.
  4. Ask questions about the client's beliefs and customs regarding pain management.
  5. Watch how other nurses provide care to their clients.

[Jadwiga9]

Answer to Question 1

Correct Answer: 3
Rationale 1: Most natural substances can interact with conventional medications. St. John's wort can actually decrease the analgesic effects of morphine sulfate.
Rationale 2: This answer does not address the client's concern about drug interaction, and is a judgmental statement about the client's current method of dealing with depression.
Rationale 3: St. John's wort can decrease the analgesic effects of morphine sulfate. The client should wait until morphine sulfate therapy is discontinued before restarting the herb.
Rationale 4: St. John's wort can actually decrease the analgesic effects of morphine sulfate. The client should wait until morphine sulfate therapy is finished before starting the herbal therapy again.
Global Rationale: St. John's wort can decrease the analgesic effects of morphine sulfate. The client should wait until morphine sulfate therapy is discontinued before restarting the herb. Most natural substances can interact with conventional medications. St. John's wort can actually decrease the analgesic effects of morphine sulfate. Asking the client why the herb is used does not address the client's concern about drug interaction, and is a judgmental statement about the client's current method of dealing with depression.

Answer to Question 2

Correct Answer: 2,3,4
Rationale 1: Not all clients respond identically to interventions.
Rationale 2: Even if the nurse has to use the services of a translator, careful listening is an important step in providing culturally sensitive care.
Rationale 3: Showing respect is important in providing culturally sensitive care in all areas, including pain management.
Rationale 4: The nurse cannot practice what the nurse does not know. Asking questions is the method used to gain information to facilitate sensitive care.
Rationale 5: Other nurses may not be providing the care needed for this nurse's clients.
Global Rationale: Even if the nurse has to use the services of a translator, careful listening is an important step in providing culturally sensitive care. Showing respect is important in providing culturally sensitive care in all areas, including pain management. The nurse cannot practice what the nurse does not know. Asking questions is the method used to gain information to facilitate sensitive care. Not all clients respond identically to interventions. Other nurses may not be providing the care needed for this nurse's clients.

[saraeharris]

Excellent

[jackie]

TYSM