Answer to Question 1
ANS: A
The nurse should reinforce the patient for reporting use of the herb. Many patients keep secrets about use of alternative therapies. If it poses no danger, the nurse can document the use. The patient may also get placebo effect from the herb, but it is not necessary for the nurse to point out that information. The distracters are judgmental and may discourage the patient from openly sharing in the future.
Answer to Question 2
ANS: B
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. A health care provider should also assess the patient for cardiovascular concerns.
What makes tea so good
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Patient teaching: neck assessment
Patient teaching: male genetalia assessment
Risk-taking behavior by young males.