Answer to Question 1
4. Check with your health care provider before taking herbal remedies.
Rationale:
Herbal remedies such as evening primrose oil, garlic, gingko biloba, or grapeseed extract can increase the effect of the aspirin. Itching is not a common side effect of aspirin therapy. Aspirin and Coumadin are not to be taken concurrently. No lab appointments will be made just for aspirin therapy.
Answer to Question 2
4. The client will experience relief of chest pain with nitrate therapy.
Rationale:
A primary goal in the treatment of angina is to reduce the intensity and frequency of angina episodes. Rapid-acting organic nitrates are the drugs of choice for terminating an acute angina episode. Anticoagulant therapy is used to prevent additional thrombi from forming postmyocardial infarction; it will not relieve angina pain. Therapeutic lifestyle changes are significant if the client is to maintain a healthy heart, but they will not relieve chest pain; this is accomplished with medications. Aspirin therapy following an acute myocardial infarction dramatically reduces mortality due to its antiplatelet function; it will not relieve angina pain.