chapter 28 - ATI Testing

VITAMINS, MINERALS, AND SUPPLEMENTS
4. A nurse is reinforcing teaching to a client who has a vitamin B 12 deficiency and a new prescription
for intranasal cyanocobalamin (Nascobal) inserted into one nostril once a week. What instruction
should the nurse give the client about the administration of the medication?
Reinforce to the client not to administer intranasal cyanocobalamin within 1 hr after
eating hot foods or liquids. This can increase nasal secretions and thus decrease the
amount of medication absorbed.
NCLEX ® Connection: Pharmacological Therapies, Medication Administration
5. Match each herbal supplement below with an adverse reaction that can occur when taking the
supplement:
C Echinacea A. Cardiac dysrhythmias
D Valerian B. Jaundice, liver damage
B Kava Kava C. Allergic reactions in clients allergic to ragweed
A Ma Huang D. Sedation, possible physical dependence
NCLEX ® Connection: Pharmacological Therapies, Adverse Effects/Contraindications/Side
Effects/Interactions
6. A nurse is collecting data from an older adult client who states she takes ginkgo biloba to help her
memory. Which of the following from the client’s health history is a contraindication to the use
of ginkgo biloba?
A. Peripheral arterial disease
B. Migraine headaches
C. Seizure disorder
D. Osteoporosis
Ginkgo biloba can cause seizures, particularly in clients who may have a lower seizure
threshold due to medications, such as decongestants, antihistamines, and some
medications for depression or psychosis. Clients who have a history of seizures should not
take ginkgo biloba. Pain from peripheral arterial disease may be helped by taking ginkgo
biloba. Migraine headaches and hypertension are not affected by ginkgo biloba.
NCLEX ® Connection: Pharmacological Therapies, Adverse Effects/Contraindications/Side
Effects/Interactions
PN PHARMACOLOGY FOR NURSING 359