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:

Naproxen is classified as a pregnancy category B medication during the first and second trimesters but becomes category D in the third trimester due to potential risks to the fetus. It is generally advised to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen during pregnancy unless specifically recommended by a healthcare provider.

Choice B reason:

Aspirin is not considered safe during pregnancy, especially in higher doses. It is classified as category D in the third trimester due to risks such as premature closure of the ductus arteriosus and potential bleeding complications. Low-dose aspirin may be prescribed in specific cases, but it is not generally recommended as an over-the-counter option for pregnant women.

Choice C reason:

Ibuprofen, like naproxen, is an NSAID and is classified as category B during the first and second trimesters but category D in the third trimester. It is generally advised to avoid ibuprofen during pregnancy due to potential risks to the fetus, particularly in the later stages of pregnancy.

Choice D reason:

Acetaminophen is classified as a pregnancy category B medication and is considered safe for use during all trimesters of pregnancy. It is the preferred over-the-counter analgesic and antipyretic for pregnant women due to its safety profile. Acetaminophen does not carry the same risks as NSAIDs and is widely used to manage pain and fever during pregnancy.

Choice A reason:

Measuring a client’s intake and output (I&O) is a task that can be performed by assistive personnel (AP). This task involves recording the amount of fluids a client consumes and excretes, which does not require the specialized skills of an LPN. Therefore, it is more appropriate to assign this task to the AP.

Choice B reason:

Obtaining a client’s weight is another task that can be delegated to assistive personnel (AP). This task involves using a scale to measure the client’s weight and recording the result. It is a routine task that does not require the advanced training of an LPN.

Choice C reason:

Providing postmortem care for a client can be performed by assistive personnel (AP) under the supervision of an RN or LPN. This task involves preparing the body after death, which includes cleaning and positioning the body. While LPNs can perform this task, it is not exclusive to their scope of practice and can be delegated to AP.

Choice D reason:

Inserting a nasogastric tube for a client is a task that requires the specialized skills and training of an LPN. This procedure involves inserting a tube through the client’s nose into the stomach, which requires knowledge of anatomy, sterile technique, and the ability to assess for complications. Therefore, this task should be assigned to the LPN.