A nurse is performing a preoperative drug history on a client who is admitted to the hospital for surgery. To evaluate the risk of hemorrhage, the nurse will ask the client about antiplatelet and anticoagulant medications as well as which dietary supplement?
St. John's Wort
Coenzyme Q-10
Ginkgo biloba
Ma Huang
The Correct Answer is C
A) St. John's Wort is not typically associated with an increased risk of bleeding.
B) Coenzyme Q-10 is not known to have significant anticoagulant or antiplatelet effects.
C) Ginkgo biloba is a dietary supplement that may increase the risk of bleeding, and its use should be assessed preoperatively.
D) Ma Huang (ephedra) is associated with cardiovascular stimulation rather than anticoagulant effects.
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Related Questions
Correct Answer is D
Explanation
a) Taking the medication to prevent asthma attacks is an appropriate use and does not require immediate intervention.
b) Using the rescue inhaler twice a month may indicate the need for further evaluation but does not pose an immediate threat.
c) Sleep disturbances are a known side effect of leukotriene blockers and may need attention, but it is not an urgent concern.
d) Expressing suicidal ideation and having a plan for self-harm is a critical situation that requires immediate intervention to ensure the client's safety and well-being.
Correct Answer is A
Explanation
a) Spironolactone is a potassium-sparing diuretic, and the use of salt substitutes, which often contain potassium chloride, can lead to increased potassium levels, posing a risk of hyperkalemia.
b) Continuing medication even when feeling well is generally advised, especially for chronic conditions. Discontinuing medication without medical guidance is not recommended. c) While a healthy diet is important, this option does not specifically address the unique considerations related to spironolactone use.
d) Checking the pulse is not directly related to self-care in terms of the medication's side effects or interactions.
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