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?

Probiotics

Coenzyme Q10

Valerian

Ginkgo biloba

Answer and Explanation

The Correct Answer is D

A.   Probiotics do not typically interact with warfarin. They generally affect gut health and are not known to have significant effects on blood clotting mechanisms.
B.   Coenzyme Q10 has minimal effects on warfarin metabolism. It is mainly involved in cellular energy production and does not significantly alter coagulation.
C.   Valerian primarily affects the central nervous system and has no significant interaction with warfarin. It is mainly used for its sedative properties and does not interfere with blood thinning.
D.   Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. This supplement inhibits platelet aggregation, which can significantly enhance the anticoagulant effects of warfarin, raising the risk of hemorrhage.

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Correct Answer is C

Explanation

A. A heart rate of 104/min may indicate continued hypovolemia or a compensatory response to volume loss.
B. Pitting edema suggests fluid overload rather than effective treatment of hypovolemia.
C. A blood pressure of 124/74 mm Hg within or close to the normal range indicates improved volume status and effective treatment of hypovolemia.
D. Increased hematocrit suggests hemoconcentration due to volume loss rather than effective treatment.

A. Increased appetite B. Decreased jaundice C. Decreased ascites D. Increased energy

Correct Answer is C

Explanation

A. Increased appetite is not a direct indicator of spironolactone effectiveness.
B. Decreased jaundice may occur with overall improvement in liver function but is not a direct indicator of spironolactone effectiveness.
C. Decreased ascites indicates that spironolactone is effectively reducing fluid retention, which is a primary goal in managing cirrhosis.
D. Increased energy can be a positive sign but is not a direct measure of the effectiveness of spironolactone.

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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 is receiving IV 0.9% sodium chloride for the treatment of hypovolemia. Which of the following findings should the nurse identify as an indication the treatment is effective?

Correct Answer is C

Explanation

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 responding to the treatment?

Correct Answer is C

Explanation

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