The nurse is caring for a client who takes warfarin 10 mg PO daily and several herbal remedies. The nurse would be most concerned that the use of which herb would enhance the anticoagulant effects of warfarin?

Ginkgo

Dandelion

Acai

Zinc

Answer and Explanation

The Correct Answer is A

A. Ginkgo biloba has been reported to have anticoagulant properties and may potentiate the effects of warfarin, increasing the risk of bleeding. Therefore, individuals taking warfarin should exercise caution when using ginkgo supplements and be monitored closely for signs of bleeding or changes in anticoagulant response.
B. Dandelion is not known to directly affect blood clotting or the action of warfarin.
C. Acai berry is a fruit commonly consumed for its potential antioxidant properties and health benefits. There is limited scientific evidence regarding the interaction between acai and warfarin.
D. Zinc supplementation is generally considered safe for most individuals and there is limited evidence to suggest that zinc significantly enhances the anticoagulant effects of warfarin.

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Correct Answer is A

Explanation

A. Separation anxiety is primarily characterized by excessive distress or fear when separated from primary caregivers, and differences in parenting styles between the child's parents may affect the child's sense of security and exacerbate separation anxiety symptoms.
B. Separation anxiety is a common childhood anxiety disorder characterized by excessive worry or fear about separation from attachment figures, such as parents or caregivers. It is not typically associated with antisocial behavior
C. Separation anxiety is primarily related to the child's emotional response to separation from attachment figures and is not necessarily caused by environmental factors such as the organization of the home.

D. Prenatal stress may contribute to the child's overall risk for anxiety disorders. However, it is not a definitive predictor of separation anxiety in childhood.

A. advise the client to take an anxiolytic to decrease their anxiety level. B. restrain the client to prevent self-harm. C. assist the client to identify the trigger situation and choose a coping strategy. D. encourage the client use self-harm behaviors to release emotion.

Correct Answer is C

Explanation

C. Individuals with borderline personality disorder often struggle with intense emotions and may engage in self-harming behaviors as a maladaptive coping mechanism. Helping the client identify triggers for their distress and teaching them alternative coping strategies, such as mindfulness, grounding techniques, or distress tolerance skills, can empower them to manage their emotions in healthier ways.
A. Anxiolytic medications can help alleviate anxiety symptoms but they are not typically the first-line intervention for addressing acute distress in individuals with borderline personality disorder (BPD).
B. Restraint should not be the first response to a client expressing distress or suicidal ideation. Physical restraint should only be used as a last resort in situations where there is an imminent risk of harm to the client or others and should be implemented by trained professionals following established protocols.
D. Encouraging self-harm behaviors reinforces maladaptive coping strategies and can increase the risk of harm to the client. It is essential to provide support and interventions aimed at reducing self-harming behaviors.

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The nurse is caring for a client who takes warfarin 10 mg PO daily and several herbal remedies. The nurse would be most concerned that the use of which herb would enhance the anticoagulant effects of warfarin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 6-year old child suffering from separation anxiety. Which finding would a nurse expect when assessing the child? The child's:

Correct Answer is A

Explanation

A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:

Correct Answer is C

Explanation

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