When conducting a health assessment, you ask a client if he is ...

[dbose]

When conducting a health assessment, you ask a client if he is using any dietary supplements. The client states that he is not.
 
  Later, when recounting his medications, the client tells you he takes glucosamine three times a day to help with arthritis pain. Your best response would be: 1. Glucosamine is considered a dietary supplement, not a medication..
   2. You should discuss all dietary supplements with your PCP before using them to avoid adverse effects..
   3. Glucosamine has not received any negative reports so should be OK to use..
   4. Other clients have told you how much glucosamine helps pain..

Question 2

An example of a meal that is likely to relax the lower esophageal sphincter and allow gastroeso-phageal reflux is
 
  a. pasta with marinara sauce and sourdough bread.
  b. ham with rice pilaf.
  c. fried chicken and pasta salad.
  d. chicken and spinach tortilla wrap with spicy salsa.

[mcomstock09]

Answer to Question 1

2
Rationale: Dietary supplements are not regulated by the FDA and are sold under an umbrella of food, not medication. Clients should discuss the use of any dietary supplement with the PCP to avoid potential drug-drug interactions or toxic effects. Although some clients may report using a dietary supplement with no problems, safe use depends on the medical condition of the client and possible drug-drug interactions with other medications.

Answer to Question 2

C
Foods and beverages that relax the lower esophageal sphincter (allowing stomach contents to back up) include alcohol, carminatives (oil of peppermint or spearmint, garlic, onion), chocolate, high-fat foods (fried foods, high-fat meats, cream sauces, gravies, margarine/butter, cream, oil, salad dressings). Fried chicken and pasta salad are both high in fat and would exacerbate ga-stroesophageal reflux. The other meals are relatively low in fat and would be much less likely to cause reflux.