A patient is on an anticoagulant. The patient also occasionally takes goldenseal for cold symptoms. What should the nurse teach the patient about the use of herbal drugs and anticoagulant therapy?
a. Herbal drugs may decrease clotting times.
b. Herbal drugs may increase the risk of bleeding.
c. There are no risks associated with this drug combination.
d. They are safe to take together if you take them an hour apart.
ANS: B
Goldenseal, as well as other herbal drugs, may increase the risk of bleeding in patients on anticoagulants.
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When caring for a patient in shock, one of the major nursing goals is to reduce the risk that the patient will develop complications of shock. How can the nurse best achieve this goal?
A) Provide a detailed diagnosis and plan of care in order to promote the patient's and family's coping. B) Keep the physician updated with the most accurate information because in cases of shock the nurse often cannot provide relevant interventions. C) Monitor for significant changes and evaluate patient outcomes on a scheduled basis focusing on blood pressure and skin temperature. D) Understand the underlying mechanisms of shock, recognize the subtle and more obvious signs, and then provide rapid assessment.
A college senior comes to the mental health clinic with the chief complaint that "My face is so ugly I can't go out in public.". Assessment reveals she has no actual disfigurement and is of average attractiveness
She tells the nurse that she goes to class wearing a scarf draped across her lower face but is concerned that she will be unable to interview for positions after graduation because of her ugly appearance. The patient's symptoms are consistent with the clinical picture of: a. dissociative identity disorder. b. body dysmorphic disorder. c. hypochondriasis. d. malingering.
A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in intracranial pressure (ICP). What nursing intervention would be most appropriate for this patient?
A) Range-of-motion exercises to prevent contractures B) Encouraging independence with ADLs to promote recovery C) Early initiation of physical therapy D) Absolute bed rest in a quiet, nonstimulating environment
A nurse is providing education to nurses in the psychiatric unit on antidepressant medications. To evaluate their learning, the educator asks one of the nurses, "How does fluoxetine (Prozac) achieve its effects?"
The nurse would be correct to state that fluoxetine (Prozac) achieves its effects by which of the following mechanisms of action? a. Selectively inhibiting serotonin reuptake b. Blocking the uptake of monoamines c. Inhibiting monoamine oxidase-A in nerve terminals d. Direct stimulation of serotonin receptors