The nurse is assessing a diabetic patient who has presented at ...

[aabwk4]

The nurse is assessing a diabetic patient who has presented at the clinic reporting several hypoglycemic episodes during the past 3 weeks.
 
  The nurse questions the patient about the use of herbal or alternative therapies, suspecting what herbal remedy could cause the hypoglycemic episodes? A) St. John's wort
  B) Kava
  C) Fish oil
  D) Ginseng

Question 2

The nurse has been caring for a child who has been receiving growth hormone therapy for several years. When the child returns for evaluation following a sudden growth spurt, what nursing diagnosis will the nurse add to the plan of care?
 
  A) Disturbed body image
  B) Deficient knowledge regarding drug therapy
  C) Imbalanced nutrition: Less than body requirements related to metabolic changes
  D) Risk for disproportionate growth

[ambernicolefink]

Answer to Question 1

D
Feedback:
Ginseng is known to decrease blood sugar levels. If the patient used this in combination with his or her oral antidiabetic agent, diet, and exercise, his or her blood sugar could drop below therapeutic levels. St. John's wort interacts with many drugs, but not with antidiabetic agents. Kava is associated with liver toxicity. Fish oil has been associated with decreased coronary artery disease.

Answer to Question 2

C
Feedback:
A child who is taking growth hormone may experience sudden growth, which will require increased nutritional intake, so it is important to include nutritional needs in the plan of care. More than likely an increase in caloric intake and nutrients will be necessary. Most children who are small for their age see growth as a positive thing and not a disturbed body image. After taking the drug for several years, the patient should have received adequate teaching from the nurse ot make deficient knowledge unlikely. The child should not be at risk for, but have a diagnosis of, disproportionate growth as the reason for taking the medication.

[aabwk4]

TY

[ambernicolefink]

You're welcome