A client scheduled for surgery has been taking garlic supplements. Which action is most important for the nurse to take?
a. No action is necessary because the herbal agent is harmless.
b. Notify the charge nurse that the client has been taking garlic.
c. Note the information on the client's record and place in the chart.
d. Notify the surgeon that the client has been taking garlic capsules.
D
Because garlic acts as an antiplatelet agent and has the potential to decrease clotting, much in the same way as aspirin, the surgeon will have to decide whether the surgery will be postponed. The nurse should never assume that any herbal supplement is "harmless" because many can interact with medications and diet. The nurse will note the information on the client's chart, but the most important action is to notify the surgeon. Informing the charge nurse about the garlic is not ne-cessary if the surgeon is notified.
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A nurse cares for a client with a urine specific gravity of 1.018. Which action should the nurse take?
a. Evaluate the client's intake and output for the past 24 hours. b. Document the finding in the chart and continue to monitor. c. Obtain a specimen for a urine culture and sensitivity. d. Encourage the client to drink more fluids, especially water.
As part of the neurologic examination, the nurse instructs the patient to perform a Romberg test. What nursing action best provides for patient safety if the results are abnormal?
A) Have suction equipment on hand B) Be prepared to catch the patient if he or she falls C) Have the patient perform the test in a seated position D) Have the patient perform the finger-to-nose test before this test
Constipation can be minimised by: a. adequate protein, adequate vitamins and regularphysical activity
b. adequate fibre, adequate fluid intake and regularphysical activity. c. adequate fat, adequate fluid intake and regularphysical activity. d. adequate protein, adequate fluid intake and iron supplements.
A nurse is uncomfortable discussing such topics as sexual behavior and sexual orientation when counseling clients. By avoiding this topic with clients:
a. Potential risks and risky behaviors will not be identified. b. Transmission of sexually transmitted diseases will decrease. c. Clients will be reluctant to return to care providers. d. The nurse will be violating the laws in most states.