During a follow-up visit with a patient recently started on Coumadin, the home health nurse is concerned after seeing an herbal remedy that enhances the effect of anticoagulants by the patient's bedside.
What is this herbal remedy?
Asian ginseng.
Cayenne.
Aloe vera.
Kava.
The Correct Answer is A
The correct answer is choice a. Asian ginseng.
Choice A rationale:
Asian ginseng is known to enhance the effect of anticoagulants like Coumadin (warfarin). It can increase the risk of bleeding by potentiating the anticoagulant effect.
Choice B rationale:
Cayenne contains salicylates, which have blood-thinning properties, but it is not as well-documented for enhancing the effect of anticoagulants as Asian ginseng.
Choice C rationale:
Aloe vera is not known to significantly affect anticoagulant medications. It is primarily used for its soothing and healing properties on the skin.
Choice D rationale:
Kava is primarily used for its sedative and anxiolytic effects. It does not have a significant impact on anticoagulant medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Encouraging the client to take slow, deep breaths is a holistic approach that can help manage pain by promoting relaxation and reducing stress.
Choice B rationale:
Checking the client’s oxygen saturation level is a physiological assessment, not a holistic approach.
Choice C rationale:
Obtaining blood work is a medical intervention, not a holistic approach.
Choice D rationale:
Requesting a prescription for an analgesic is a pharmacological intervention, not a holistic approach.
Correct Answer is B
Explanation
Choice A rationale:
Reminding the client not to turn from side to side is not the most appropriate action. While it is important to limit movement after a cardiac catheterization, it is not the most critical action.
Choice B rationale:
Checking pedal pulses every 15 min is the most appropriate action. This is to monitor for signs of vascular compromise, which can occur after a cardiac catheterization with a femoral artery approach.
Choice C rationale:
Keeping the client in high-Fowler’s position for 6 hr is not the most appropriate action. While positioning can be important, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Choice D rationale:
Performing passive range-of-motion for the affected extremity is not the most appropriate action. While it is important to maintain mobility, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
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