A nurse is collecting data from a client who is taking enoxaparin.
The client reports starting the use of dietary supplements.
The nurse should report the use of which of the following supplements to the provider?
Echinacea.
Ginkgo biloba.
Probiotics.
Flaxseed powder.
The Correct Answer is B
Choice A rationale
Echinacea has immunomodulatory effects, potentially boosting immunity. While it interacts with some medications, its usage does not pose significant risks with anticoagulants like enoxaparin unless combined with other supplements or medications causing immune changes.
Choice B rationale
Ginkgo biloba increases the risk of bleeding due to its antiplatelet effects, which can compound the anticoagulant effects of enoxaparin. This interaction requires reporting to the provider to adjust or monitor anticoagulant therapy accordingly.
Choice C rationale
Probiotics support gut health but do not interact significantly with anticoagulants or alter coagulation parameters. Their usage can generally be continued unless specific contraindications arise with concurrent conditions or medications.
Choice D rationale
Flaxseed powder is a source of omega-3 fatty acids, which may have mild anticoagulant effects. However, this interaction is not typically strong enough to warrant reporting unless combined with other supplements affecting coagulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pulling the glove cuff over the wrist of the gown ensures a proper seal, reducing the risk of exposure to pathogens during respiratory suctioning. This technique is a standard practice in PPE protocols to maintain contamination prevention and does not indicate improper teaching.
Choice B rationale
Removing gloves after completing suctioning is an essential step in infection control. Gloves are contaminated during the procedure, and removing them first prevents cross-contamination when handling other parts of PPE or surfaces.
Choice C rationale
An N95 respiratory mask is required to protect the healthcare worker from inhaling airborne pathogens during suctioning for clients with pneumonia. It is essential for respiratory protection in procedures involving potential aerosolization of infectious particles.
Choice D rationale
Limiting conversation with the client while wearing a mask is not scientifically grounded as an infection control measure. Masks are designed to prevent pathogen transmission without restricting verbal communication, making this statement incorrect and in need of correction.
Correct Answer is D
Explanation
Choice A rationale
Peak expiratory flow volume measurement assesses airway obstruction in conditions like asthma but is unrelated to postoperative tonsillectomy care or oxygenation improvement.
Choice B rationale
Using straws post-tonsillectomy increases suction pressure, risking clot disruption at the surgical site. This can lead to bleeding complications and delayed healing.
Choice C rationale
Encouraging coughing post-tonsillectomy may disturb surgical site healing and increase bleeding risk due to heightened pressure on the tissue and clot displacement.
Choice D rationale
Semi-Fowler position improves oxygenation and reduces edema in the throat by promoting adequate drainage and minimizing swelling, benefiting postoperative tonsillectomy patients. .
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