A client with an aortic valve replacement is taking a daily dose of warfarin to prevent clot formation. The client states that he is also taking ginkgo biloba to Improve his memory and concentration. What would be the nurse's best response?

Inform the client that this drug combination is most effective if the ginkgo biloba is taken twice daily.

Inform the client that memory problems following valve replacement surgery are common, but temporary.

Instruct the client that ginkgo biloba interacts with anticoagulant drugs and then check for bruising or bleeding.

Instruct the client to keep a record of episodes of forgetfulness or memory disturbances to monitor effectiveness.

Answer and Explanation

The Correct Answer is C

A. Advising a specific dosing regimen for ginkgo biloba without addressing safety concerns is not appropriate.
B. While memory problems may occur post-surgery, addressing the interaction between ginkgo biloba and warfarin is more urgent.
C. Ginkgo biloba can interact with anticoagulant drugs like warfarin, increasing the risk of bleeding. The nurse should instruct the client about this interaction and check for signs of bruising or bleeding.
D. Keeping a record of memory disturbances does not address the immediate safety concern of the interaction between ginkgo biloba and warfarin.

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Correct Answer is C

Explanation

Rationale:
A. The deltoid muscle is not recommended for IM injections in infants due to its small size.
B. The gluteus is not preferred due to the risk of hitting the sciatic nerve and because the muscle is not well-developed in infants.
C. The vastus lateralis muscle is the preferred site for IM injections in infants due to its size and low risk of complications.
D. "Upper thigh" is a vague term but typically refers to the vastus lateralis in the context of infant injections.

A. Fresh-frozen plasma B. Dextrose 10% in water (D10W) C. 0.9% sodium chloride (normal saline) D. Parenteral nutrition formula

Correct Answer is D

Explanation

A. Fresh-frozen plasma can be administered via peripheral access.
B. Dextrose 10% in water can typically be administered via peripheral access.
C. 0.9% sodium chloride (normal saline) can be administered via peripheral access.
D. Parenteral nutrition formula, particularly if it is hyperosmolar, often requires central venous access due to the high concentration of glucose and nutrients, which can irritate peripheral veins and require a more stable infusion rate.

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A client with an aortic valve replacement is taking a daily dose of warfarin to prevent clot formation. The client states that he is also taking ginkgo biloba to Improve his memory and concentration. What would be the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the preferred IM injection site for a 1-year-old?

Correct Answer is C

Explanation

Which fluid or product to be infused requires a central venous access rather than a peripheral access?

Correct Answer is D

Explanation

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