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?

Choice A reason: A client who had a stroke and is to be admitted

Assigning a client who had a stroke and is to be admitted might not be the best choice for an RN floated from the maternal-newborn unit. Stroke patients often require specialized neurological assessments and interventions that the RN might not be familiar with. Additionally, the initial admission process can be complex and time-consuming, requiring familiarity with the specific protocols and procedures of the medical-surgical unit.

Choice B reason: A client who is one-day postoperative following a total abdominal hysterectomy

This is the most appropriate assignment for the RN floated from the maternal-newborn unit. The RN is likely to be familiar with postoperative care, especially related to abdominal surgeries, given their experience in the maternal-newborn unit. Postoperative care involves monitoring vital signs, managing pain, and ensuring proper wound care, all of which are within the RN’s skill set. This familiarity can help ensure the client receives competent and safe care.

Choice C reason: A client who has acute pancreatitis

Acute pancreatitis can be a complex condition requiring specialized knowledge of gastrointestinal issues and potential complications such as fluid and electrolyte imbalances, respiratory issues, and severe pain management. The RN from the maternal-newborn unit may not have the specific expertise needed to manage these complexities effectively.

Choice D reason: A client who has terminal end-stage renal disease

Caring for a client with terminal end-stage renal disease involves managing complex chronic conditions, including fluid balance, electrolyte management, and possibly dialysis. This requires specialized knowledge and skills that the RN from the maternal-newborn unit might not possess. Additionally, end-of-life care requires a specific set of competencies and experience that might not be within the RN’s usual scope of practice.

Choice A reason:

Offering the child a choice of taking the medication with juice or water is an effective strategy. Giving children choices helps them feel a sense of control and can reduce resistance. This approach respects the child’s autonomy and can make the medication-taking process less stressful for both the child and the nurse.

Choice B reason:

Telling the child it is candy is not an appropriate strategy. This can lead to mistrust and confusion, as the child may expect candy and be disappointed or upset when they realize it is medication. It is important to be honest with children about what they are taking to build trust and ensure they understand the importance of the medication.

Choice C reason:

Telling the child he will have to have a shot instead is not a helpful approach. This can create fear and anxiety about both the medication and future medical procedures. Using threats or scare tactics can damage the child’s trust in healthcare providers and make them more resistant to treatment in the future.

Choice D reason:

Hiding the medication in a large dish of ice cream is not recommended. While it might seem like an easy way to get the child to take the medication, it can lead to issues with dosage accuracy and the child may develop an aversion to the food used to hide the medication. It is better to use transparent and honest methods to encourage cooperation.