A patient tells the nurse, "My memory is not as good as it once was, so I started taking ginkgo biloba." The patient's only other medication is a low-dose aspirin daily. Which potential complication should be the focus of the nursing assessment?
a. Gastrointestinal distress
b. Spontaneous bleeding
c. Thromboembolism
d. Drowsiness
ANS: B
Ginkgo interacts with anticoagulants and antiplatelet agents and may cause spontaneous bleeding. Aspirin is such an agent and can predispose the patient to spontaneous bleeding. It would not increase the risk of thromboembolism. Drowsiness and gastrointestinal complaints are common side effects.
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