A nurse is teaching a client who reports taking ginkgo biloba to improve his memory and peripheral arterial disease from atherosclerosis. The nurse should include which of the following potential side effects?

Choice A reason: Using handrails in the bathroom is an effective fall prevention strategy. Handrails provide support and stability, especially in wet and slippery conditions, reducing the risk of falls. Bathrooms are common places for falls due to the presence of water and slippery surfaces. Installing handrails can significantly enhance safety for elderly residents.

Choice B reason: Getting a longer cord for the telephone is not a recommended fall prevention strategy. Long cords can create tripping hazards, especially if they are not properly managed. It is better to use cordless phones or ensure that cords are kept short and out of walkways to prevent falls.

Choice C reason: Placing a throw rug over electrical cords is not advisable. Throw rugs can slip and slide, creating a significant tripping hazard. Additionally, covering electrical cords with rugs can cause overheating and pose a fire risk. It is safer to secure cords along walls and use non-slip mats if necessary.

Choice D reason: Using chairs without armrests is not recommended for fall prevention. Armrests provide support when sitting down and standing up, helping to maintain balance and stability. Chairs with armrests can reduce the risk of falls by providing additional support for elderly residents.

Choice A reason:

Assisting the client on a bedpan to urinate can help if the bladder is full, as a full bladder can impede uterine contraction and contribute to bleeding. However, this is not the immediate priority. The primary concern is to control the bleeding, which requires more direct intervention.

Choice B reason:

Increasing the client’s fluid intake is important for maintaining hydration, especially if there is significant blood loss. However, this action does not directly address the cause of the bleeding. Immediate measures to control the hemorrhage are more critical.

Choice C reason:

Palpating the client’s uterine fundus is an essential step in assessing the cause of the bleeding. If the uterus is not contracting properly (uterine atony), it can lead to excessive bleeding. However, while this assessment is crucial, it is not the definitive intervention to stop the bleeding.

Choice D reason:

Preparing to administer oxytocic medication is the priority intervention. Oxytocic drugs, such as oxytocin (Pitocin), stimulate uterine contractions, which help to control and reduce postpartum hemorrhage. Administering this medication promptly can effectively manage the bleeding and prevent further complications.