Question

15. A pt. in Apt. will begin taking immunosuppressant drugs for rheumatoid arthritis, the nurse will caution this patient to avoid which dietary supplement ? @ Black Cohosh 6 Echinacea 14. A patient as A patent asks a nurse how to know whether dietary upplements are sate. The nurse will tell this patient that: d. any standards adressing sately merely regulate labeling and manutacturing processess b. manufacturers must provide the FDA with efficacy claims Prior to marketing their supplements. c. the DSHEA requires labeling that prohibits claims of treatment of specific diseases or conditions, d. the FDA must approve dietary supplements prior to marketing them in the united states A patient admitted to the emergency department with abdominal action is Pin tells the nurse he has been taking kava. which 13. the nurse's priority at this time? a. Review liver function studies b. Assess breath sounds and respiratory effort c. Monitor cardiovascular status di review complete blood count results

Answer 1

15.The echinacea should be avoided during immunosuppressant therapy as they increases the activity of WBC which will in turn result in immune response and might decrease the effectiveness of the medications (immunosuppressant)

14. Option A is correct (Dietary supplements are regulated under the Dietary Supplement Health and Education Act of 1994 (DSHEA). This special category exempts them from the scrutiny applied to foods and drugs. A set of standards issued by the FDA in 2007 is designed to ensure that supplements are devoid of adulterants, contaminants, and impurities and that labels reflect the contents—these standards do not ensure safety and efficacy. Efficacy claims must be provided but are not required to prove these claims; a claim to efficacy does not guarantee safety. Regulations prohibiting disease-specific claims do not ensure safety. The FDA does not approve dietary supplements prior to marketing.)

13. Kava can cause severe liver injuries and affect liver function hence liver function studies should be reviewed. Option (a) is correct.

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