The client has noticed increased bruising and a decreased ability to clot after injuries. The client admits taking ginseng, to deal with occupational stress, and a baby aspirin each day

Which of the following interventions should be included in this client's nursing care plan? 1. Encourage client to discontinue use of baby aspirin
2. Encourage the client to discuss the use of dietary supplements with the health-care provider
3. Encourage the client to begin consuming foods that are rich in vitamin K
4. Encourage the client to discuss emotional stressors


2

Rationale: This client is taking aspirin and ginseng. Both of these substances increase bleeding times which result in bruising and an inability to clot after injuries. The client should be encouraged to discuss the use of supplements with the primary health-care provider in order to prevent further interactions between medications and dietary supplements. The client should not be encouraged to consume foods rich in vitamin K to induce better clotting. The greatest priority rests with reducing the problems presented by the dietary supplement. The client should be encouraged to discuss emotional stressors later, but at this time it is most important to address the decreased ability to clot.

Nursing

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