The nurse is caring for a patient with an elevated platelet count who is to begin antiplatelet therapy. Which of the following, if taken by the patient, would concern the nurse? (Select all that apply.)
a. Acetaminophen (Tylenol)
b. St. John's wort
c. Ginseng
d. Vitamin C
e. Garlic
f. Gingko
ANS: C, E, F
Garlic, ginkgo, and ginseng can increase the risk of bleeding when taken with anticoagulant or antiplatelet medications. The other medications and supplements do not alter the clotting mechanism.
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The nurse chooses to use a health contract/calendar as a behavior-changing tool for an older adult client who wants to lose weight. Which of the following principles should the nurse keep in mind when choosing this tool?
a. it relies on the self-management capability of a client, after initial assistance is provided by a clinician or health educator b. it relies on the ability and skill of the educator c. it has been shown to be less effective with females who are older and widowed d. it cannot be used in older adults with less than a high school education
A patient who has been casted for a fracture of the left ulna asks the nurse when the cast will come off. The nurse's response is based on the knowledge that the cast will be removed when which physiologic parameter has been met?
1. The remodeling phase of the bone healing process has been completed, allowing for application of mechanical stress. 2. A cartilage collar can be clearly felt at the site of the original break. 3. A specific amount of time has passed, predetermined by the severity of the break. 4. The X-ray of the fractured bone shows that the ends are well joined.
A 6-year-old child is admitted to the pediatric unit and requires bed rest. Having art supplies available meets which purpose?
a. Allows the child to create gifts for parents b. Provides developmentally appropriate activities c. Is essential for play therapy so the child can work on past problems d. Lets the child express thoughts and feelings through pictures rather than words
A 20-year-old patient is experiencing difficulty with near vision. The nurse realizes that this finding is:
1. consistent with the aging process. 2. normal in a 20-year-old patient. 3. evidence of presbyopia. 4. evidence of hyperopia.