A nurse is admitting a client who states he takes ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking?

Levothyroxine

Famotidine

Warfarin

Loratadine

Answer and Explanation

The Correct Answer is C

Ginkgo biloba is a herb that is used for its cardiovascular benefits. In addition to this, it has anticoagulant properties that increases risk of bleeding especially when used together with other agents with anticoagulant properties.

A, B, D- Have no significant interactions with ginkgo biloba

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Correct Answer is B

Explanation

Olanzapine is used in the management of schizophrenia whose symptom include hallucinations, delusions and disorganized behavior. The expected features is a reduction or elimination of these symptoms.

A. Olanzapine may cause orthostatic hypotension, which can result in a decrease in blood pressure upon standing, but it is not typically expected to cause a decrease in resting blood pressure.

C. Olanzapine has no anticonvulsant effect.

D. Olanzapine causes fatigue and sedation as some of the side effects

A. Clamp the catheter. B. Position the client in left lateral Trendelenburg. C. Auscultate breath sounds. D. Initiate oxygen therapy.

Correct Answer is A

Explanation

Acute shortness of breath in a client with a central venous catheter could be secondary to various respiratory complications such as pulmonary embolism and pneumothorax. Taking the appropriate action requires a quick assessment through auscultation as the emergency management of the various complications is different.
A. This is the immediate action to prevent more air from entering the venous system.
B. The left lateral trendelenburg position is relevant in hypotension but not a priority action.

C.uscultating breath sounds is an important assessment, especially if the cause of the shortness of breath is unclear. It can help identify wheezing, crackles, or absence of breath sounds, which may suggest conditions like pneumothorax, pulmonary embolism, or infection. However, while auscultation is an important diagnostic step, it is typically done after initial interventions (such as positioning or administering oxygen) to stabilize the client.
D. Initiating oxygen therapy is important in cases of respiratory distress but assessment is priority in this case

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A nurse is admitting a client who states he takes ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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