A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?
Ginkgo biloba
Coenzyme QIO
Valerian
Probiotics
The Correct Answer is A
Ginkgo biloba is a form of alternative medicine that is used due to its antioxidants and cardiovascular benefits. In addition to these, it has antiplatelet effects which increases the risk of bleeding when used concurrently with anticoagulants such as in clients receiving warfarin
Coenzyme QIO, Valerian and probiotics have no notable interactions with warfarin
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Consulting a reference guide provides information on all potential interactions that may apply for the medication guide. It allows the nurse to give specific and accurate information regarding the drug at hand without generalization.
A- This does not apply to all medications
C-Asking a colleague may not be accurate
D- The clients records may not contain all the relevant information needed
Correct Answer is A
Explanation
Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes
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