The client is experiencing iron deficiency anemia and tells the nurse that he has been taking St. John's wort because it helps stabilize his depression. What is the best response from the nurse?
a. Don't take St. John's wort; it interferes with absorption of your iron tablets.
b. That's a good idea; St. John's wort will help absorb the iron tablets.
c. Don't take St. John's wort; it can cause the iron to reach a toxic level.
d. That's a good idea; St. John's wort will prevent the iron from reaching toxicity.
Question 2
The nurse is caring for a client with sickle cell disease who tells the nurse that she is considering taking large doses of vitamin C because she has read about its ability to enhance wound healing. What is the best response from the nurse?
a. That should be a very effective way to self-manage your disease process.
b. That is contraindicated because of the type of pain medication that you require.
c. That should encourage wound healing as well as enhance pain management.
d. That is contraindicated because it can lead to sickle cell crisis.
The nurse assists the patient in reflecting on his feelings
Sickle cell anemia. The clinical manifestations of sickle cell anemia result from pathologic changes
Vitamin Deficiency
Testing client’s ability to identify sharp sensations
Testing the client’s ability to feel vibrations, the toe
Testing the Achilles tendon reflex with client in a sitting position