The nurse is caring for a client who takes warfarin 10 mg PO daily and several herbal remedies. The nurse would be most concerned that the use of which herb would enhance the anticoagulant effects of warfarin?

Ginkgo

Dandelion

Acai

Zinc

Answer and Explanation

The Correct Answer is A

A. Ginkgo biloba has been reported to have anticoagulant properties and may potentiate the effects of warfarin, increasing the risk of bleeding. Therefore, individuals taking warfarin should exercise caution when using ginkgo supplements and be monitored closely for signs of bleeding or changes in anticoagulant response.
B. Dandelion is not known to directly affect blood clotting or the action of warfarin.
C. Acai berry is a fruit commonly consumed for its potential antioxidant properties and health benefits. There is limited scientific evidence regarding the interaction between acai and warfarin.
D. Zinc supplementation is generally considered safe for most individuals and there is limited evidence to suggest that zinc significantly enhances the anticoagulant effects of warfarin.

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Correct Answer is B

Explanation

B. Oxazepam is a benzodiazepine and is often used for the management of alcohol withdrawal syndrome. It works by acting on the GABA receptors in the brain, which are the same receptors that alcohol affects, thus helping to alleviate withdrawal symptoms.
A. Fluoxetine is an antidepressant medication belonging to the class of selective serotonin reuptake inhibitors (SSRIs). It is primarily used to treat conditions like depression, anxiety disorders, obsessive- compulsive disorder (OCD), and bulimia nervosa. It is not typically used to manage alcohol withdrawal symptoms.
C. Buspirone is an anti-anxiety medication used to treat generalized anxiety disorder (GAD). It works differently from benzodiazepines and is not typically used to manage alcohol withdrawal symptoms.
D. Amitriptyline is a tricyclic antidepressant used to treat depression, neuropathic pain, and sometimes migraines. Like fluoxetine, it is not typically used to manage alcohol withdrawal symptoms.

A. assess the client's airway and breathing. B. assess the client's gag reflex. C. call the physician immediately. D. document this as normal findings and reassess in half an hour.

Correct Answer is A

Explanation

A. The client's lethargy and lack of response to verbal commands raise concerns about their level of consciousness and potential airway compromise. Assessing the client's airway and breathing involves ensuring that the airway is clear, assessing respiratory rate and effort, and monitoring oxygenation.
B. Assessing the gag reflex can provide additional information about airway protection. However, it should not delay assessment and intervention for airway and breathing concerns.
C. Contacting the physician may be necessary but it is not the priority nursing action in this situation. The nurse should first assess the client's airway and breathing to ensure their safety and stability.
D. The client's lethargy and unresponsiveness are not normal findings after an endoscopy and require immediate assessment and intervention. Delaying assessment and intervention could lead to serious complications, including respiratory compromise or airway obstruction.

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The nurse is caring for a client who takes warfarin 10 mg PO daily and several herbal remedies. The nurse would be most concerned that the use of which herb would enhance the anticoagulant effects of warfarin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to a Chemical Addictions Unit to stop using alcohol and to learn about sobriety. The client asks the nurse what medication the doctor has prescribed for possible alcohol withdrawal. The nurse explains that the physician prescribed:

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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