During an assessment, the nurse determines that an older client takes medication for atrial fibrillation and takes over-the-counter supplements to enhance nutritional status. Which supplements most concern the nurse? Select all that apply.
1. Zinc
2. Garlic
3. Fish oil
4. Ginseng
5. Ginkgo biloba
2. Garlic
3. Fish oil
4. Ginseng
5. Ginkgo biloba
2. Garlic has an antiplatelet effect. A client with atrial fibrillation is taking medications to control heart rate and prevent blood clots. "Blood thinners" can interact with antiplatelet supplements and result in bleeding.
3. Fish oil has an antiplatelet effect. A client with atrial fibrillation is taking medications to control heart rate and prevent blood clots. "Blood thinners" can interact with antiplatelet supplements and result in bleeding.
4. A supplement with an antiplatelet effect includes ginseng. A client with atrial fibrillation is taking medications to control heart rate and prevent blood clots. "Blood thinners" can interact with antiplatelet supplements and result in bleeding.
5. Ginkgo biloba is avoided or used with extreme caution in anyone taking prescribed medications.
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A patient with mitral valve prolapse is admitted for a scheduled cystoscopy. The physician has ordered gentamicin to be taken before the procedure. What is the rationale for this?
A) Prevent bacterial endocarditis B) Prevent inflammation of the urethra C) Avoid antibiotic use during the procedure D) Decrease need for surgical asepsis
The nurse is preparing to document care provided to a client. The major reason for accurate and thorough documentation of nursing care rendered and the client's response to interventions is because documentation:
a. is required for accreditation and reimbursement. b. prevents lawsuits. c. is required if a client sues. d. is a long-held custom.
A number of changes are introduced to a unit, including changes to familiar clinical procedures and the use of PDAs to enable bedside documentation. You, as unit manager, anticipate which of the following will contribute most to complexity compression?
a. Meaning of the change b. Pace of changes c. Previous experiences with change d. Confidence of the leader in the value of the change
The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART) for which patient?
a. Patient who is currently HIV negative but has unprotected sex with multiple partners b. Patient who was infected with HIV 15 years ago and now has a CD4+ count of 840/µL c. HIV-positive patient with a CD4+ count of 160/µL who drinks a fifth of whiskey daily d. Patient who tested positive for HIV 2 years ago and now has cytomegalovirus (CMV) retinitis