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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Increased appetite can be a positive sign but is not a direct indicator of spironolactone’s effectiveness in treating cirrhosis-related complications.
B. Decreased jaundice is a positive sign but is not the primary indicator of spironolactone’s effectiveness. Jaundice is more directly related to liver function.
C. Increased energy can indicate overall improvement but is not specific to the effects of spironolactone.
D. Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.

A. Taking a high-ceiling diuretic B. Taking an HMG-CoA reductase inhibitor C. Having a 10-year history of COPD D. Having a prolapsed mitral valve

Correct Answer is A

Explanation

A. Taking a high-ceiling diuretic, such as furosemide, can lead to hypokalemia (low potassium levels), which increases the risk of digoxin toxicity. Low potassium levels enhance the effects of digoxin on the heart, making toxicity more likely.
B. Taking an HMG-CoA reductase inhibitor (statin) is not directly related to digoxin toxicity. Statins are used to lower cholesterol levels and do not significantly interact with digoxin.
C. Having a 10-year history of COPD does not predispose a client to digoxin toxicity. COPD affects the respiratory system and is not directly related to digoxin metabolism or excretion.
D. Having a prolapsed mitral valve is a cardiac condition but does not specifically increase the risk of digoxin toxicity. The primary concern with digoxin toxicity is electrolyte imbalances, particularly potassium levels.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing manifestations of acute cocaine toxicity. Which of the following medication prescriptions should the nurse anticipate administering?

A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneously to a client who weighs 143 lbs. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

A nurse is assessing a client who has received oxycodone. The nurse notes that the client’s respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client’s respiratory rate?