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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Enteral feeding, while important, can wait momentarily if the client's airway needs immediate attention.
B. Endotracheal suctioning is a priority if the client is having difficulty breathing or has excessive secretions in the airway.
C. Wound irrigation can be performed after ensuring the client's airway is clear and stable.
D. Urinary catheter care is important but can be prioritized after addressing acute respiratory needs.
Correct Answer is C
Explanation
A. The nurse should not inform the provider that the PCA is not providing adequate pain relief, as this is not true based on the client's pain rating of 2 out of 10.
B. The nurse should not ask the provider for a prescription to decrease the continuous rate, as this may compromise the client's pain relief and comfort.
C. The client should be encouraged to use the PCA pump before the pain becomes severe, as this will provide better pain control and reduce the risk of side effects.
D. Instructing the caregiver to push the button without the client's request may lead to overmedication and potential respiratory depression.
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