A nurse is conducting a medication history for a client who is scheduled for elective surgery. The client reports taking ginkgo biloba, garlic, and fish oil supplements daily. Which of the following actions should the nurse take?

Inform the client that these supplements are not effective and should be discontinued

Document the supplements on the medication list and notify the surgical team

Instruct the client to stop taking these supplements at least 2 weeks before the surgery

Ignore the supplements as they are not relevant to the surgical procedure

Answer and Explanation

The Correct Answer is B

A) Incorrect. Informing the client that these supplements are not effective and should be discontinued is disrespectful and inaccurate. These supplements may have some benefits for certain conditions, such as cognitive function, cardiovascular health, and inflammation. The nurse should respect the client's preferences and beliefs, as long as they do not pose a significant risk to their health.

B) Correct. Documenting the supplements on the medication list and notifying the surgical team is the best action. These supplements may have antiplatelet or anticoagulant effects, which can increase the risk of bleeding during or after surgery. The surgical team may advise the client to stop taking these supplements before the surgery, depending on their individual risk factors and type of surgery.

C) Incorrect. Instructing the client to stop taking these supplements at least 2 weeks before the surgery is premature and outside the scope of practice of the nurse. The nurse should consult with the surgical team before making any recommendations about discontinuing any medications or supplements.

D) Incorrect. Ignoring the supplements as they are not relevant to the surgical procedure is irresponsible and unsafe. The nurse should consider all medications and supplements that the client is taking, as they may have an impact on their perioperative care and outcomes.

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Correct Answer is A

Explanation

A) Correct. Asking the client how often and why they use each OTC product can help identify any potential drug-drug interactions, adverse effects, or self-treatment issues. The nurse should also educate the client on how to use OTC products safely and appropriately.

B) Incorrect. Advising the client to avoid using any OTC products without consulting their prescriber is unrealistic and unnecessary. Some OTC products are effective and safe for minor ailments, as long as they are used as directed and do not interfere with the client's prescription medications.

C) Incorrect. Recording only the prescription medications on the medication list is incomplete and inaccurate. The nurse should include all medications that the client is taking, including OTC products, vitamins, minerals, and herbal supplements.

D) Incorrect. Discarding any OTC products that are expired or unsealed without the client's consent is disrespectful and wasteful. The nurse should inform the client of the risks of using expired or contaminated products and offer to dispose of them properly.

A. The client's primary care provider B. The client's pharmacy records C. The client's medication bottles D. The client's spouse or caregiver E. The client's previous admission records

Correct Answer is ["A","B","C","D"]

Explanation

A) Correct. The client's primary care provider can provide accurate information about the client's current prescriptions and any changes made recently.

B) Correct. The client's pharmacy records can show what medications the client has filled and when, which can help identify adherence issues or discrepancies.

C) Correct. The client's medication bottles can provide information about the name, dose, frequency, and expiration date of the medications, as well as any special instructions or warnings.

D) Correct. The client's spouse or caregiver can provide additional information about the client's medication use, especially if the client has cognitive impairment or difficulty managing their own medications.

E) Incorrect. The client's previous admission records may not reflect the current medication regimen, as changes may have occurred since then.

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A nurse is conducting a medication history for a client who is scheduled for elective surgery. The client reports taking ginkgo biloba, garlic, and fish oil supplements daily. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is obtaining a medication history from a client who is admitted for pneumonia. Which of the following sources should the nurse use to verify the client's home medications? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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