Although attempts are being made to standardize the flavones in ginkgo, the nurse is aware this product can still be particularly dangerous for which clients?
1. Those using a generic brand of the herbal product
2. Those who are taking anticoagulant drugs
3. Clients who have never taken the herb
4. Clients who are of African American ethnicity
Correct Answer: 2
Rationale 1: The use of a generic brand would not be particularly dangerous.
Rationale 2: Ginkgo can cause increased bleeding time in clients, increasing the risk of hemorrhage.
Rationale 3: Taking an herb that one has not taken before has some risks, but it is not as dangerous as having an allergy to the ingredients.
Rationale 4: Using ginkgo does not pose a particular risk to those of African American ethnicity.
Global Rationale: Ginkgo can cause increased bleeding time in clients, increasing the risk of hemorrhage. The use of a generic brand would not be particularly dangerous. Taking an herb that one has not taken before has some risks, but it is not as dangerous as having an allergy to the ingredients. Using ginkgo does not pose a particular risk to those of African American ethnicity.
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