Herbal Therapy
Herb used for Alzheimer's and Dementia
Ginkgo Biloba
What is the first pass effect?
The first pass effect (also known as first-pass metabolism or presystemic metabolism) is a phenomenon of drug metabolism whereby the concentration of a drug, specifically when administered orally, is greatly reduced before it reaches the systemic circulation.
placement of a warm cup on the skin to create suction
Cupping
Which descriptions apply to the market for medicinal herbs in the United States? (Select all that apply.)
a. Growing in numbers of users.
b. Used with traditional therapies.
c. Less than $1 million in sales annually.
d. Used by less than 40% of the population.
e. Viewed with growing skepticism.
f. Heavily regulated by federal law.
A, B
Order: Zofran 8 mg p.o.t.i.d. Available: Zofran in a 100mL bottle labeled 4 mg/tsp. How many mL will the nurse administer for each dose?
2tsp
Herb used for nausea and vomiting
Ginger
Identify what is missing from the following order:
Digoxin 65mg BID, hold for pulse of >60bpm
Route
concept that represents opposing yet complementary phenomena to opposites like hot/cold
yin and yang
When taking a patient's drug history, the nurse asks about use of over-the-counter drugs. The patient responds by saying, "Oh, I frequently take aspirin for my headaches, but I didn't mention it because aspirin is nonprescription." What is the nurse's best response?
a. "That's true; over-the-counter drugs are generally not harmful."
b. "Aspirin is one of the safest drugs out there."
c. "Although aspirin is over the counter, it's still important to know why you take it, how much you take, and how often."
d. "We need you to be honest about the drugs you are taking. Are there any others that you haven't told us about?"
C
Order: Amoxicillin 0.25 g p.o. every 8 hours. Available: Amoxicillin 125mg tablets. How many tablets will the nurse give per dose?
2 tablets
Herb used to help with elevated cholesterol
Garlic
Which of the following mind-body practice has been shown to increase both T-cells and natural killer cells?
A. All of these
B. Music therapy
C. Yoga
D. Meditation
A
Mind and body technique used to to help aid in self regulation and voluntary self control
Biofeedback
The nurse is reviewing the drug history of a patient, and during the interview the patient asks, "Why are some drugs over-the-counter and others are not?" The nurse keeps in mind that criteria for over-the-counter status include: (Select all that apply.)
a. The condition must be diagnosed by a health care provider.
b. The benefits of correct usage of the drug outweigh the risks.
c. The drug has limited interaction with other drugs.
d. The drug is easy to use.
e. The drug company sells OTC drugs at lower prices.
B,C,D
Give Regular insulin by continuous I.V. infusion at 20 units/hr. The solution is 250 mL NS with 100 units of Regular insulin. What rate on the infusion pump will deliver the correct dose?
50ml/hr
Help used in sleep disorders to work as a sleep aid and aid with mild anxiety
Valerian
Which of the following hydrotherapy treatment might be most beneficial for a repetitive stress injury?
1. Hot fomentation
2. Infrared sauna
3. Warming socks
4. Hot and cold contrast therapy
4
Caution should be used when doing acupuncture on patients with with these four physiologic processes
HIV, pregnant, hepatitis B, or seizures
A patient with atrial fibrillation requests a cup of chamomile tea. The nurse denies the patient's request because of the medication the patient is taking. What is the medication?
A. Chamomile
B. Saw tooth
C. Ginseng
D. Lavender
A
Give Fortaz 50 mg/kg p.o. t.i.d. to a child who weighs 25.5 kg. Fortaz is available in an oral suspension labeled 100mg/mL. How many mL would the nurse administer per dose?
12.8ml
Herb used in benign prostatic hyperplasia
Saw palmetto
A patient is seeking an herbal solution that produces an effect similar to estrogen. What herb should the nurse suggest the patient investigate?
A. Cat's claw
B. Black cohosh
C. Feverfew
D. Milk thistle
B
This organization has decided to not regulate the administration of herbal drugs but is in control of the distribution and control of other pharmaceutical drugs
FDA
An older adult pt is eating breakfast. The RN knows this pt is taking a variety of different types of medications. Which item on the pt's tray would most concern the RN about possible effects on drug metabolism?
A. Milk
B. Grapefruit Juice
C. Orange Juice
D. Tomato
B
Keflin 2 gin I00 mL DsW IVPB over 20 minutes. The I.V. tubing is 15 gtt/mL. Calculate the flow rate.
75gtts/min