The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client's statement that:
a. "Will I start taking my St. John's wort as soon as I can eat again?"
b. "I've haven't taken my ginkgo for exactly 10 days."
c. "I didn't want to risk catching a cold so I took my echinacea with just a sip of wa-ter."
d. "It seemed strange not taking my garlic pill this morning."
ANS: D
Herbs that can affect bleeding and clotting time, such as garlic, ginger, ginkgo, and ginseng, should be especially noted and reported to the surgical team. There is no known surgery-related risk involved with the regular self-medication of St. John's Wort or echinacea. Ginkgo should be stopped at least 7 days prior to surgery.
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