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 A

Explanation

A. Watching television until falling asleep can interfere with the ability to fall asleep and stay asleep due to the stimulating effects of screen time and blue light.
B. Having a small snack and taking a bath before bed are good practices that can promote relaxation and help induce sleep.
C. Avoiding naps throughout the day can help improve nighttime sleep quality and maintain a consistent sleep schedule.
D. Going to bed and getting up at the same time each day helps regulate the body's internal clock and improve sleep quality.

A. Maturation B. Proliferation C. Inflammation D. Remodeling phase

Correct Answer is C

Explanation

A. The maturation phase is the final phase of wound healing and involves the strengthening and remodeling of collagen fibers.
B. The proliferation phase is the second phase of wound healing, characterized by the formation of new tissue and blood vessels.
C. The inflammation phase is the first phase of wound healing, during which the body's initial response to injury involves hemostasis and inflammation. This phase includes vasodilation, increased permeability of blood vessels, and the influx of white blood cells to clean the wound.
D. The remodeling phase is another term for the maturation phase, the final phase of wound healing.

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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

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