The home health nurse caring for a patient with infective ...

[hubes95]

The home health nurse caring for a patient with infective endocarditis overhears the patient making a dental appointment for an extraction next month. Which question is most important for the nurse to ask?
 
  a. Do you have a toothache?
  b. Have you contacted your physician about your dental appointment?
  c. Is your dentist board certified?
  d. Do you think you should wait that long for your tooth extraction?'

Question 2

The home health nurse warns the patient who is taking warfarin (Coumadin) for anticoagulant therapy for thrombophlebitis to stop taking the herbal remedy of ginkgo because ginkgo can:
 
  a. cause severe episodes of diarrhea.
  b. cause a severe skin eruption if taken with Coumadin.
  c. increase the action of the Coumadin.
  d. cause the Coumadin to be less effective.

[Edwyer]

Answer to Question 1

ANS: B
Patients with endocarditis are put on a protocol of prophylactic antibiotics for any invasive procedure. The dentist and physician should be contacted before the extraction.

Answer to Question 2

ANS: C
Herbal remedies such as ginkgo, garlic, angelica, and red clover can increase (potentiate) the action of the Coumadin.