A patient who takes warfarin (Coumadin) experiences excessive bleeding, even though serum drug levels are normal. The primary care NP should question this patient about the use of:
a. feverfew.
b. echinacea.
c. green tea.
d. ginkgo biloba.
D
Ginkgo biloba decreases blood viscosity and can enhance the effects of warfarin. Feverfew, echinacea, and green tea do not have this effect.
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The nurse administers vitamin K to the newborn for what reason?
a. Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient. b. Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection. c. Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract. d. The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.
Which of the following foods will have the greatest impact on the heart's conductivity of the person consuming it?
1. A pickle 2. A banana 3. A milkshake 4. A spinach salad
The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe because of gang activity. Before going to the client's home, the nurse should:
1. Call for an escort. 2. Call the client to let them know the nurse is on the way. 3. Ask if the client could meet the nurse at the agency. 4. Take a second nurse along on the visit.
The nurse is caring for a patient who has bulimia. The nurse recognizes that the patient is at highest risk for which of the following complications?
a. Ischemic stroke b. Metabolic alkalosis c. Fluid overload d. Weight gain