A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
Valerian
Probiotics
Ginkgo biloba
Coenzyme Q10
The Correct Answer is C
A. Valerian is an herbal supplement commonly used for its sedative effects. It does not have a significant interaction with warfarin and is not contraindicated for concurrent use.
B. Probiotics are generally safe to use with warfarin and do not have a significant impact on its anticoagulant effects. They are not contraindicated for concurrent use.
C. Ginkgo biloba is known to increase the risk of bleeding when taken with warfarin. It has antiplatelet effects that can enhance the anticoagulant effects of warfarin, leading to an increased risk of bleeding complications. Therefore, it is contraindicated for concurrent use with warfarin.
D. Coenzyme Q10 is structurally similar to vitamin K and can potentially reduce the effectiveness of warfarin. However, it is not as strongly contraindicated as ginkgo biloba, which has a more pronounced effect on bleeding risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Famotidine is an H2 receptor antagonist used to treat conditions like ulcers and gastroesophageal reflux disease (GERD). It does not contain sulfonamide and is generally safe for patients with sulfonamide allergies.
B. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, fever reduction, and anti-inflammatory purposes. It does not contain sulfonamide and is not contraindicated for patients with sulfonamide allergies.
C. Metronidazole is an antibiotic used to treat various infections, including those of the gastrointestinal tract and the reproductive system. It does not contain sulfonamide and is safe for patients with sulfonamide allergies.
D. Glyburide is a sulfonylurea used to treat type 2 diabetes by increasing insulin production in the pancreas. It contains sulfonamide and can cause allergic reactions in patients with sulfonamide allergies, making it contraindicated.
Correct Answer is ["325"]
Explanation
Step 1: Convert the client’s weight from pounds to kilograms. 143 lbs ÷ 2.2 = 65 kg (rounded to the nearest whole number)
Step 2: Calculate the dosage in mcg. 5 mcg × 65 kg = 325 mcg
The nurse should administer 325 mcg per day.
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