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 B
Explanation
Choice A rationale
Cervical cancer screenings are recommended to begin at age 21, regardless of sexual history. Delaying until age 40 overlooks guidelines that target the detection of precancerous changes earlier in life, maximizing prevention efforts.
Choice B rationale
The combination of Pap and HPV tests every five years from ages 30 to 65 aligns with current recommendations. HPV is a critical etiological agent, and co-testing enhances sensitivity for detecting high-risk oncogenic strains or cellular abnormalities.
Choice C rationale
Immunization against HPV significantly reduces cervical cancer risk but does not eliminate it. Screening remains critical due to the vaccine's limited coverage of HPV types and possible pre-immunization exposure.
Choice D rationale
Lifetime screenings are not necessary unless there are risk factors like HIV or previous abnormal results. Guidelines recommend stopping screening after age 65 for women with adequate prior negative results.
Correct Answer is D
Explanation
Choice A rationale
Tomato soup contains minimal protein and is not a substantial dietary source for clients needing high-protein intake postoperatively. It may be included in a balanced diet but should not be relied upon for protein needs.
Choice B rationale
Bananas are primarily composed of carbohydrates and potassium, with negligible protein content. They are beneficial for energy and electrolyte balance but do not serve as a high-protein food source.
Choice C rationale
Avocado is rich in healthy fats and provides some protein, but its protein content is lower than that of legumes. It is ideal for supporting general nutrition but not for maximizing protein intake.
Choice D rationale
Black beans are a high-protein legume and an excellent source for vegetarians. They contain significant amounts of essential amino acids, making them suitable for clients needing to enhance protein intake during postoperative recovery.
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