VERIFIED MEDSURGE 310 STUDY GUIDED AND EXAM 2026/2027
chapter 6
VERIFIED MEDSURGE 310 STUDY GUIDED AND EXAM 2026/2027
chapter 6
Current Good Manufacturing Practices , these standards are multifaceted and require
that package labels give quality and strength of all contents and products be free of
contaminants and impurities
Dietary Supplement Health and Education Act of 1994 clarified marketing regulations
for herbal remedies. DSHEA reclassified herbals as “dietary supplements” distinct from
food or drugs.
dried herbs are fresh herbs that have had the moisture removed by sun or heat.
extracts are made by isolating certain components, resulting in more reliable dosing.
fresh herbs may decay after a few days because of enzyme activity; hence they have a
short life
herb according to MedlinePlus, is “a plant or plant part used for its scent, flavor or
therapeutic properties.
herbal monographs are therapeutic and qualitative. Therapeutic monographs contain
information on use, dosage, side effects, and contraindications. Qualitative monographs
have information on areas such as compliance with compounding guidelines and standards
of purity.
oils are made by soaking dried herb in olive or vegetable oil and heating it for an extended
time
phytomedicine (medicine derived from plants) relates to several factors, including dosage,
potency, and purity
salves semisolid fatty preparations, are made by melting a wax in oil (or crushing the herb
and mixing it in a petroleum jelly base) and allowing it to cool and harden.
Syrups are made by adding a sweetener, usually honey or sugar, to the herb and then
cooking it
teas are made by steeping fresh or dried herbs in boiling water.
tinctures are commonly made by soaking fresh or dried herbs in a solvent such as water
or alcohol.
NCLEX Study Questions
• 1.What provisions of the Dietary Supplement Health and Education Act of 1994 are
most important for the nurse to know related to patient health teaching? (Select all that
apply.)
o a.Clarified marketing regulations
, VERIFIED MEDSURGE 310 STUDY GUIDED AND EXAM 2026/2027
chapter 6
o b.Reclassified herbs as dietary supplements
o c.Stated that herbal products can be marketed with suggested dosages
o d.Required that package labels give quality and strength of all contents
o e.Stated that herbs can be used as drug
• 2.The nurse discovers that a patient has recently decided to take four herbal
preparations. Which action will the nurse take first?
o a.Discuss the cost of herbal products.
o b.Instruct the patient to inform the health care provider of all products taken.
o c.Instruct the patient to stop taking all herbal products immediately.
o d.Suggest that the patient taper off use of herbal products over the next 2
weeks.
• 3.Labeling of herbal products is important. Which is an appropriate claim for an
herbal product?
o a.“Prevents diabetes”
o b.“Helps increase blood flow to the extremities”
o c.“Cures Alzheimer's disease”
o d.“Is safe for all”
• 4.The nurse is reviewing a patient's current medications. Which herbal products
interfere with the action of anticoagulants? (Select all that apply.)
o a.aloe
o b.feverfew
o c.ginger
o d.licorice
o e.cranberry
• 5.A patient has multiple prescription medications and is not able to recall which
herbal product he uses for relief of migraine headaches. He notes that it is a serum
antagonist and asks the nurse to assist him. What is the best response by the nurse?
o a.“Valerian”
o b.“Feverfew”
o c.“Milk thistle”
o d.“Ginkgo”
• 6.A patient is being followed by a cardiovascular clinic and takes garlic, which is
reported to decrease cholesterol, triglycerides, blood pressure, and blood-clotting
capability. Which patient statement indicates a need for further teaching? (Select all that
apply.)
o a.“I can just take garlic for my heart problems.”
chapter 6
VERIFIED MEDSURGE 310 STUDY GUIDED AND EXAM 2026/2027
chapter 6
Current Good Manufacturing Practices , these standards are multifaceted and require
that package labels give quality and strength of all contents and products be free of
contaminants and impurities
Dietary Supplement Health and Education Act of 1994 clarified marketing regulations
for herbal remedies. DSHEA reclassified herbals as “dietary supplements” distinct from
food or drugs.
dried herbs are fresh herbs that have had the moisture removed by sun or heat.
extracts are made by isolating certain components, resulting in more reliable dosing.
fresh herbs may decay after a few days because of enzyme activity; hence they have a
short life
herb according to MedlinePlus, is “a plant or plant part used for its scent, flavor or
therapeutic properties.
herbal monographs are therapeutic and qualitative. Therapeutic monographs contain
information on use, dosage, side effects, and contraindications. Qualitative monographs
have information on areas such as compliance with compounding guidelines and standards
of purity.
oils are made by soaking dried herb in olive or vegetable oil and heating it for an extended
time
phytomedicine (medicine derived from plants) relates to several factors, including dosage,
potency, and purity
salves semisolid fatty preparations, are made by melting a wax in oil (or crushing the herb
and mixing it in a petroleum jelly base) and allowing it to cool and harden.
Syrups are made by adding a sweetener, usually honey or sugar, to the herb and then
cooking it
teas are made by steeping fresh or dried herbs in boiling water.
tinctures are commonly made by soaking fresh or dried herbs in a solvent such as water
or alcohol.
NCLEX Study Questions
• 1.What provisions of the Dietary Supplement Health and Education Act of 1994 are
most important for the nurse to know related to patient health teaching? (Select all that
apply.)
o a.Clarified marketing regulations
, VERIFIED MEDSURGE 310 STUDY GUIDED AND EXAM 2026/2027
chapter 6
o b.Reclassified herbs as dietary supplements
o c.Stated that herbal products can be marketed with suggested dosages
o d.Required that package labels give quality and strength of all contents
o e.Stated that herbs can be used as drug
• 2.The nurse discovers that a patient has recently decided to take four herbal
preparations. Which action will the nurse take first?
o a.Discuss the cost of herbal products.
o b.Instruct the patient to inform the health care provider of all products taken.
o c.Instruct the patient to stop taking all herbal products immediately.
o d.Suggest that the patient taper off use of herbal products over the next 2
weeks.
• 3.Labeling of herbal products is important. Which is an appropriate claim for an
herbal product?
o a.“Prevents diabetes”
o b.“Helps increase blood flow to the extremities”
o c.“Cures Alzheimer's disease”
o d.“Is safe for all”
• 4.The nurse is reviewing a patient's current medications. Which herbal products
interfere with the action of anticoagulants? (Select all that apply.)
o a.aloe
o b.feverfew
o c.ginger
o d.licorice
o e.cranberry
• 5.A patient has multiple prescription medications and is not able to recall which
herbal product he uses for relief of migraine headaches. He notes that it is a serum
antagonist and asks the nurse to assist him. What is the best response by the nurse?
o a.“Valerian”
o b.“Feverfew”
o c.“Milk thistle”
o d.“Ginkgo”
• 6.A patient is being followed by a cardiovascular clinic and takes garlic, which is
reported to decrease cholesterol, triglycerides, blood pressure, and blood-clotting
capability. Which patient statement indicates a need for further teaching? (Select all that
apply.)
o a.“I can just take garlic for my heart problems.”
