A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?

Ginkgo biloba

Coenzyme QIO

Valerian

Probiotics

Answer and Explanation

The Correct Answer is A

Ginkgo biloba is a form of alternative medicine that is used due to its antioxidants and cardiovascular benefits. In addition to these, it has antiplatelet effects which increases the risk of bleeding when used concurrently with anticoagulants such as in clients receiving warfarin

Coenzyme QIO, Valerian and probiotics have no notable interactions with warfarin

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Correct Answer is A

Explanation

Carbamazepine is an antiepileptic medication commonly used to treat seizures. One of the potential adverse effects of carbamazepine is blurred vision. This occurs because carbamazepine can affect the function of the eyes, leading to changes in vision. Clients taking carbamazepine should be advised to report any changes in vision, such as blurriness or difficulty focusing, to their healthcare provider promptly.

B,C,D- are not related to carbamazepine use

A. Nalbuphine B. Acetaminophen C. Ondansetron D. Insulin glargine

Correct Answer is A

Explanation

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

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A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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