A client with an aortic valve replacement is taking a daily dose of warfarin to prevent clot formation. The client states that he is also taking ginkgo biloba to Improve his memory and concentration. What would be the nurse's best response?

Inform the client that this drug combination is most effective if the ginkgo biloba is taken twice daily.

Inform the client that memory problems following valve replacement surgery are common, but temporary.

Instruct the client that ginkgo biloba interacts with anticoagulant drugs and then check for bruising or bleeding.

Instruct the client to keep a record of episodes of forgetfulness or memory disturbances to monitor effectiveness.

Answer and Explanation

The Correct Answer is C

A. Advising a specific dosing regimen for ginkgo biloba without addressing safety concerns is not appropriate.
B. While memory problems may occur post-surgery, addressing the interaction between ginkgo biloba and warfarin is more urgent.
C. Ginkgo biloba can interact with anticoagulant drugs like warfarin, increasing the risk of bleeding. The nurse should instruct the client about this interaction and check for signs of bruising or bleeding.
D. Keeping a record of memory disturbances does not address the immediate safety concern of the interaction between ginkgo biloba and warfarin.

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Correct Answer is B

Explanation

A. Leaning against a bedside table does not provide adequate support or comfort for coughing.
B. Splinting the abdomen with a pillow supports the incision site and reduces pain, making it easier for the patient to cough effectively.
C. Supporting the patient's back is helpful but not as effective as abdominal splinting for reducing pain during coughing.
D. Offering an antitussive is not appropriate as it suppresses coughing, which is needed to clear secretions postoperatively.

A. "I watch television until I fall asleep at night." B. I have a small snack and take a bath before going to bed each day." C. "I don't take naps throughout the day." D. "I go to bed and get up routinely at the same time each day."

Correct Answer is A

Explanation

A. Watching television until falling asleep can interfere with the ability to fall asleep and stay asleep due to the stimulating effects of screen time and blue light.
B. Having a small snack and taking a bath before bed are good practices that can promote relaxation and help induce sleep.
C. Avoiding naps throughout the day can help improve nighttime sleep quality and maintain a consistent sleep schedule.
D. Going to bed and getting up at the same time each day helps regulate the body's internal clock and improve sleep quality.

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A client with an aortic valve replacement is taking a daily dose of warfarin to prevent clot formation. The client states that he is also taking ginkgo biloba to Improve his memory and concentration. What would be the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What technique will the nurse implement to assist the postoperative patient to cough?

Correct Answer is B

Explanation

A nurse is instructing a young adult client about healthful sleep habits. Which of the following statements should the nurse identify as an Indication that the client needs further teaching?

Correct Answer is A

Explanation

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