A nurse is reviewing the medical history of a client who has osteoarthritis. The client asks the nurse about taking the supplement chondroitin with glucosamine. The nurse should instruct the client to use this supplement with caution because of which of the following findings in the client's history?
Allergy to eggs.
Hypotension.
History of hypoglycemia.
Anticoagulant therapy.
The Correct Answer is D
Choice A rationale:
Allergy to eggs is not a contraindication for taking chondroitin with glucosamine. These supplements do not contain eggs and are generally safe for individuals with egg allergies.
Choice B rationale:
Hypotension is not directly related to the use of chondroitin with glucosamine. These supplements are not known to cause significant changes in blood pressure.
Choice C rationale:
History of hypoglycemia is not a specific concern with chondroitin and glucosamine supplements. These supplements do not significantly impact blood sugar levels in people without diabetes.
Choice D rationale:
The correct choice. The nurse should instruct the client to use chondroitin with glucosamine with caution if they are on anticoagulant therapy. Chondroitin and glucosamine may have mild anticoagulant effects, and when combined with prescribed anticoagulant medications, there is a potential risk of increased bleeding or altered blood clotting times. It is essential to monitor the client's coagulation parameters closely if they decide to use these supplements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
The nurse should wear a protective gown when suctioning the client's airway to prevent the spread of infection. During suctioning, there is a risk of exposure to the client's respiratory secretions, which may contain infectious organisms. Wearing a gown will help protect the nurse from contact with these secretions.
Choice B rationale:
Monitoring for oral secretions every 2 hours is essential to prevent the accumulation of mucus or saliva in the client's mouth. Excessive secretions can increase the risk of aspiration, which may lead to ventilator-associated pneumonia (VAP).
Choice C rationale:
Providing oral care every 2 hours is crucial to maintain oral hygiene and reduce the growth of bacteria in the mouth. Oral bacteria can potentially enter the lungs during mechanical ventilation, contributing to the development of VAP.
Choice D rationale:
Maintaining the client in a supine position is not recommended as it can increase the risk of VAP. The supine position may cause secretions to pool in the back of the throat, making it more likely for the client to aspirate these secretions.
Choice E rationale:
Assessing the client daily for readiness for extubation is important but not directly related to decreasing the risk of VAP. Extubation refers to the removal of the endotracheal tube, which helps prevent complications associated with prolonged intubation but does not specifically address VAP prevention.
Correct Answer is B
Explanation
Choice A rationale:
The statement "If I can keep my hemoglobin A1C less than 6.5%, I will be cured of diabetes.”. is incorrect. While maintaining an A1C level below 6.5% is a recommended target for some individuals with diabetes, achieving this level does not cure diabetes. Diabetes is a chronic condition that requires ongoing management and lifestyle modifications.
Choice B rationale:
Checking blood sugar levels before exercising is an important aspect of managing type 1 diabetes. Exercise can affect blood glucose levels, and knowing the current level helps the client determine whether it is safe to engage in physical activity or if adjustments to insulin or carbohydrate intake are needed.
Choice C rationale:
Having regular eye checks every 2 years is essential for clients with diabetes, but it is not the best statement that indicates an understanding of health promotion activities for a new diagnosis of type 1 diabetes mellitus.
Choice D rationale:
Soaking feet daily in warm, soapy water is not a recommended practice for clients with diabetes. It can lead to skin dryness and increase the risk of infection. Instead, clients with diabetes should practice daily foot inspections and keep their feet moisturized to prevent complications related to peripheral neuropathy.
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