A patient plans to go to the acupuncturist for complementary ...

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A patient plans to go to the acupuncturist for complementary treatment of alcoholism. He asks the nurse to explain how acupuncture works.
 
  The most accurate response would be that acupuncture is a traditional Chinese medical treatment based on the belief that: a. pressure on meridian points will correct problems in the patient's energy flow.
  b. the insertion of needles modulates the flow of energy along body meridians.
  c. taking very small doses of noxious substances will alleviate specific symptoms.
  d. the insertion of needles in key locations will drain away any toxic energies.

Question 2

A patient states she has taken megadoses of vitamin E for 3 months to improve her circulation but thinks she feels somewhat worse. Which action should the nurse take first?
 
  a. Assess the patient for symptoms and signs of toxicity from excess vitamin exposure.
  b. Note that research has not shown that vitamin megadoses produce any benefits.
  c. Explain to the patient that megadoses may actually be harmful and advise caution.
  d. Assess for signs of circulatory impairment to determine whether improvement has occurred.

[okolip]

Answer to Question 1

B
Acupuncture involves the insertion of needles to modulate the flow of body energy (chi) along specific body pathways called meridians. Acupressure uses pressure to affect energy flow. Homeopathy involves the use of microdosages of specific substances to effect health improvement. Traditional Chinese medicine is more concerned with energy and life force balance, and acupuncture is not predicated on the removal of toxic energies.

Answer to Question 2

A
Megadoses of many vitamins, especially when taken over long periods, may produce dangerous side effects or toxicity. The priority for the nurse is to assess for signs of any dangerous consequences of the patient's use of such a regimen. Secondary interventions would include patient education about research findings related to the practice, along with any benefits and undesired effects associated with the practice. The patient should also be assessed for cardiovascular concerns by a health care provider.