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3 Nov 2015

NCLEX Practice Questions ( Answer # 11)










An antihypertensive medication has been prescribed for a client with hypertension. The client tells a clinic nurse that she would like to take an herbal substance to help lower her blood pressure. The nurse should take which appropriate action?


1. Tell the client that herbal substances are not safe and should never be used.
2. Encourage the client to discuss the use of an herbal substance with the physician.
3. Teach the client how to take her blood pressure so that it can be monitored closely.
4. Tell the client that if she takes the herbal substance she will need to have her blood pressure checked frequently.


Answer and Rationale: 

Option 2 is Correct answer.

Rationale: Although herbal substances may have some beneficial effects, not all herbs are safe to use. Clients who are being treated with conventional medication therapy should be encouraged to avoid herbal substances with similar pharmacological effects because the combination may lead to an excessive reaction or to unknown interaction effects. The nurse would advise the client to discuss the use of the herbal substance with the physician. Options 1, 3, and 4 are inappropriate nursing actions.

Test-Taking Strategy: Use the process of elimination. Eliminate option 1 first because of the close-ended word never. Next, eliminate options 3 and 4 because they are comparable or alike and relate to blood pressure monitoring. Review the limitations associated with the use of herbal substances if you had difficulty with this question.



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