A nurse is teaching a client who reports taking ginkgo biloba to improve his memory and peripheral arterial disease from atherosclerosis. The nurse should include which of the following potential side effects?

Breast enlargement

Decreased alertness

Bad breath

Bleeding gums

Answer and Explanation

The Correct Answer is D

Choice A reason:

Breast enlargement is not a known side effect of ginkgo biloba. This herbal supplement is primarily used for its potential benefits in improving cognitive function and circulation. There is no evidence to suggest that ginkgo biloba causes breast enlargement.

Choice B reason:

Decreased alertness is not typically associated with ginkgo biloba. In fact, ginkgo biloba is often taken to enhance cognitive function and alertness. It is believed to improve blood flow to the brain, which can help with memory and mental clarity.

Choice C reason:

Bad breath is not a common side effect of ginkgo biloba. While some herbal supplements can cause changes in breath odor, ginkgo biloba is not known to have this effect. Bad breath is more commonly associated with poor oral hygiene or certain foods.

Choice D reason:

Bleeding gums can be a side effect of ginkgo biloba. This supplement has blood-thinning properties, which can increase the risk of bleeding. People taking ginkgo biloba should be cautious if they are also taking other blood-thinning medications or have conditions that predispose them to bleeding.

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Correct Answer is A

Explanation

Choice A reason: A private room in a quiet location on the unit is the best option for a client in the manic phase of bipolar disorder. This environment minimizes stimulation and distractions, which can help reduce agitation and hyperactivity. It also allows for better control of the client’s environment, which is crucial for managing manic symptoms.

Choice B reason: A private room across from the exercise room is not ideal because the proximity to the exercise room can increase stimulation and noise, potentially exacerbating manic symptoms. Clients in the manic phase need a calm and quiet environment to help stabilize their mood.

Choice C reason: A semi-private room across from the day room is also not suitable. The day room is typically a busy area with a lot of activity and noise, which can be overstimulating for a client in the manic phase. Sharing a room with another client can further increase the risk of agitation and conflict.

Choice D reason: A semi-private room across from the snack area is not recommended for similar reasons. The snack area is likely to have frequent traffic and noise, which can be disruptive. Additionally, sharing a room can lead to increased stimulation and potential conflicts with a roommate.

A. A productive cough B. Distended neck veins C. Client report of low back pain D. Client report of tinnitus

Correct Answer is C

Explanation

Choice A reason: A productive cough

A productive cough is not typically associated with an acute hemolytic reaction. This symptom is more commonly related to respiratory conditions such as infections or chronic obstructive pulmonary disease (COPD). Acute hemolytic reactions primarily involve symptoms related to the destruction of red blood cells and the immune response.

Choice B reason: Distended neck veins

Distended neck veins are usually a sign of congestive heart failure or fluid overload. While they can indicate a serious condition, they are not specific to acute hemolytic reactions. The primary symptoms of an acute hemolytic reaction involve the immune system’s response to incompatible blood transfusion.

Choice C reason: Client report of low back pain

Low back pain is a classic symptom of an acute hemolytic reaction. This pain is typically due to the kidneys’ response to the breakdown of red blood cells, which can lead to hemoglobinuria and renal damage. The immune system’s attack on the transfused red blood cells causes this reaction, making it a critical symptom to recognize.

Choice D reason: Client report of tinnitus

Tinnitus, or ringing in the ears, is not associated with acute hemolytic reactions. This symptom is more commonly related to auditory issues or side effects of certain medications. Acute hemolytic reactions involve symptoms such as fever, chills, back pain, and hemoglobinuria.

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A nurse is teaching a client who reports taking ginkgo biloba to improve his memory and peripheral arterial disease from atherosclerosis. The nurse should include which of the following potential side effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?

Correct Answer is A

Explanation

A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of an acute hemolytic reaction?

Correct Answer is C

Explanation

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