The nurse is appropriately instructing the client regarding the use of herbals when stating:
1. "Echinacea might reduce the effectiveness of the immunosuppressant medications you've been prescribed since your transplant."
2. "Gingko could affect the results of your aspirin therapy."
3. "Ginger could be contraindicated, since you are taking anticoagulant medications."
4. "With your history of glaucoma, I don't believe you should be supplementing with ginseng."
5. "St. John's wort is a safe supplement when being medicated for depression."
Correct Answer: 1,2,3,4
Rationale 1: While it believed by some to enhance the immune system, echinacea can reduce the effectiveness of immunosuppressants.
Rationale 2: Gingko can increase the anticoagulant effects of aspirin and anticoagulant medications.
Rationale 3: Ginger can increase the anticoagulant effects of aspirin and anticoagulant medications.
Rationale 4: Ginseng can decrease the effectiveness of glaucoma medications.
Rationale 5: St. John's wort can potentiate antidepressant medications, causing severe agitation and nausea.
You might also like to view...
The nurse is discussing potential therapy with a client who has abused alcohol and cocaine. Which planning is indicated?
1. The focus of the initial therapy must be to reduce the client's abuse of cocaine because it is illegal. 2. Therapy for alcohol addiction should be addressed first as it is the more easily obtainable of the two substances. 3. Because the client is a polysubstance abuser, it is much more likely that genetics are the cause of the addictions, so inpatient therapy is indicated. 4. Both of these addictions should be addressed simultaneously.
When caring for a pregnant woman with suspected cardiomyopathy, the nurse must be alert for signs and symptoms of cardiac decompensation, which include
a. A regular heart rate and hypertension b. An increased urinary output, tachycardia, and dry cough c. Shortness of breath, bradycardia, and hypertension d. Dyspnea; crackles; and an irregular, weak pulse
A patient with bipolar disorder has stabilized and is being discharged from the hospital. The patient will live independently at home but lacks social skills and transportation. Which referral would be most appropriate?
a. A group home b. A self-help group c. A day treatment program d. Assertive community treatment (ACT)
Preconception counseling is critical to the outcome of diabetic pregnancy because poor glycemic control before and during early pregnancy is associated with:
1. frequent episodes of maternal hypoglycemia. 2. congenital anomalies in the fetus. 3. polyhydramnios. 4. hyperemesis gravidarum.