A patient describes herself as a social drinker, but the nurse ...

[evelyn o bentley]

A patient describes herself as a social drinker, but the nurse realizes that the patient's intake is excessive.
 
  The patient tells the nurse that her memory has gotten a bit spotty, so she is taking Ginkgo biloba along with her daily dose of aspirin. The nursing assessment should include that use of ginkgo by this patient may produce: a. drowsiness.
  b. gastrointestinal distress.
  c. spontaneous bleeding.
  d. thromboembolisms.

Question 2

A child has excessive motor activity and talking that interfere with academic performance. Which aspect of the child's care and treatment would a clinical nurse specialist, but not a nurse generalist, perform?
 
  a. Evaluating responses to nursing actions
  b. Formulating nursing diagnoses
  c. Planning nursing interventions
  d. Providing psychotherapy

[nicoleclaire22]

Answer to Question 1

C
Ginkgo interacts with anticoagulants and antiplatelet agents and may cause spontaneous bleeding. Aspirin is such an agent, and alcohol use can predispose to gastric bleeding due to gastric irritation, so both behaviors put the patient at increased risk. Ginkgo should be used with caution by individuals who consume alcohol or who have other risk factors for hemorrhagic stroke.

Answer to Question 2

D
The clinical nurse specialist role includes individual, group, and family psychotherapist; educator of nurses, other professions, and the community; clinical supervisor; consultant to professional and nonprofessional groups; and researcher. The distracters describe actions of a nurse generalist.