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?

Breast enlargement

Decreased alertness

Bad breath

Bleeding gums

Answer and Explanation

The Correct Answer is D

Choice A reason:

Breast enlargement is not a known side effect of ginkgo biloba. This herbal supplement is primarily used for its potential benefits in improving cognitive function and circulation. There is no evidence to suggest that ginkgo biloba causes breast enlargement.

Choice B reason:

Decreased alertness is not typically associated with ginkgo biloba. In fact, ginkgo biloba is often taken to enhance cognitive function and alertness. It is believed to improve blood flow to the brain, which can help with memory and mental clarity.

Choice C reason:

Bad breath is not a common side effect of ginkgo biloba. While some herbal supplements can cause changes in breath odor, ginkgo biloba is not known to have this effect. Bad breath is more commonly associated with poor oral hygiene or certain foods.

Choice D reason:

Bleeding gums can be a side effect of ginkgo biloba. This supplement has blood-thinning properties, which can increase the risk of bleeding. People taking ginkgo biloba should be cautious if they are also taking other blood-thinning medications or have conditions that predispose them to bleeding.

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Correct Answer is D

Explanation

Choice A reason: Bright yellow

Bright yellow urine is typically a sign of normal hydration and is not expected after a transurethral prostatectomy. This color does not indicate the presence of blood or other substances that might be expected following surgery.

Choice B reason: Bright red

Bright red urine indicates significant bleeding, which is not typical after the initial postoperative period. While some blood in the urine is expected immediately after surgery, bright red urine should be reported to a healthcare provider as it may indicate a complication.

Choice C reason: Dark amber

Dark amber urine is usually a sign of dehydration or the presence of bilirubin. It is not typically associated with the expected postoperative changes following a transurethral prostatectomy. This color does not reflect the expected mild bleeding that can occur after the procedure.

Choice D reason: Pale pink

Pale pink urine is expected following a transurethral prostatectomy due to the presence of small amounts of blood in the urine. This is a normal finding as the surgical site heals. The pale pink color indicates mild bleeding, which is common and usually resolves as the healing process continues.

A. “I will take this medication with an antacid.” B. “I will reduce my fluid intake with this medication.” C. “I will take this medication 1 hour before meals and at bedtime.” D. “I will take this medication as needed to reduce pain.”

Correct Answer is C

Explanation

Choice A reason:

The statement “I will take this medication with an antacid” is incorrect. Sucralfate should not be taken simultaneously with antacids because antacids can interfere with the effectiveness of sucralfate. If antacids are needed, they should be taken at least 30 minutes before or after sucralfate.

Choice B reason:

The statement “I will reduce my fluid intake with this medication” is incorrect. There is no need to reduce fluid intake while taking sucralfate. In fact, maintaining adequate hydration is important for overall health and can help with the medication’s effectiveness.

Choice C reason:

The statement “I will take this medication 1 hour before meals and at bedtime” is correct. Sucralfate works best when taken on an empty stomach, typically 1 hour before meals and at bedtime. This timing helps the medication form a protective barrier over the ulcer, promoting healing.

Choice D reason:

The statement “I will take this medication as needed to reduce pain” is incorrect. Sucralfate is not intended to be taken on an as-needed basis for pain relief. It should be taken regularly as prescribed to effectively treat and heal the ulcer.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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