A patient with type 2 diabetes presents at the clinic for a ...

[bcretired]

A patient with type 2 diabetes presents at the clinic for a routine follow-up appointment. The patient asks the nurse whether she can take the herbal supplement ginseng. What is the correct response by the nurse?
 
  A) It increases the risk for high blood glucose levels.
  B) It increases the risk for low blood glucose levels.
  C) There is no research to indicate what effect it will have.
  D) There is no reason ginseng cannot be taken by people with diabetes.

Question 2

What is the antidiarrheal of choice the nurse will administer to children older than 2 years of age with diarrhea?
 
  A) Bismuth salts (Pepto-Bismol)
  B) Loperamide (Imodium)
  C) Paregoric (generic)
  D) Difenoxin (Motofen)

[fwbard]

Answer to Question 1

B
Feedback:
Patients being treated with antidiabetic therapies are at an increased risk of developing hypoglycemia if they use herbals containing juniper berries, ginseng, garlic, fenugreek, coriander, dandelion root, or celery. If a patient uses these therapies, blood glucose levels should be monitored closely and appropriate dose adjustment made in the prescribed drug.

Answer to Question 2

B
Feedback:
Loperamide may be the antidiarrheal of choice in children older than 2 years of age if such a drug is needed. Special precautions need to be taken to monitor for electrolyte and fluid disturbances and supportive measures should be taken as needed. Serious fluid volume deficits may rapidly develop in children with diarrhea. Appropriate fluid replacement should include oral rehydration solutions. Although bismuth salts and paregoric may be given to children, they are not the drugs of choice. Difenoxin is not for use in children under 12 years of age.

[bcretired]

Thanks for the timely response, appreciate it

[amit]

Excellent