During a follow-up visit with a patient recently started on Coumadin, the home health nurse is concerned after seeing an herbal remedy that enhances the effect of anticoagulants by the patient's bedside.
What is this herbal remedy?
Asian ginseng.
Cayenne.
Aloe vera.
Kava.
The Correct Answer is A
The correct answer is choice a. Asian ginseng.
Choice A rationale:
Asian ginseng is known to enhance the effect of anticoagulants like Coumadin (warfarin). It can increase the risk of bleeding by potentiating the anticoagulant effect.
Choice B rationale:
Cayenne contains salicylates, which have blood-thinning properties, but it is not as well-documented for enhancing the effect of anticoagulants as Asian ginseng.
Choice C rationale:
Aloe vera is not known to significantly affect anticoagulant medications. It is primarily used for its soothing and healing properties on the skin.
Choice D rationale:
Kava is primarily used for its sedative and anxiolytic effects. It does not have a significant impact on anticoagulant medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Pneumonia is an infection in the lungs, not fluid accumulation due to heart disease.
Choice B rationale:
Asthma is a chronic condition causing inflammation and narrowing of the bronchial tubes, not fluid accumulation.
Choice C rationale:
Pulmonary edema is the correct answer. It’s a condition caused by excess fluid in the lungs, which can be a complication of heart disease.
Choice D rationale:
Ascites is fluid accumulation in the abdomen, not the lungs.
Correct Answer is B
Explanation
Choice A rationale:
Coronary artery disease is a chronic condition that develops over time, not typically associated with chest pain that resolves with rest.
Choice B rationale:
Angina pectoris is characterized by chest pain that often improves with rest, as the heart’s demand for oxygen decreases.
Choice C rationale:
Congestive heart failure usually presents with symptoms like shortness of breath, fatigue, and swelling, not necessarily chest pain.
Choice D rationale:
Myocardial infarction, or a heart attack, typically causes severe chest pain that does not improve with rest.
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