Author Question: The patient uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this ... (Read 111 times)

809779 · **on:** Jul 23, 2018

The patient uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this herb. The physician orders warfarin (Coumadin) for the patient. Which findings may the nurse find upon assessment?

1. Headache, dizziness, sweating, and agitation
2. A blood glucose of 56
3. An international normalized ratio (INR) of 3.0
4. Petechiae and bleeding from the gums

Question 2

The nurse is reinforcing factors that contribute to addiction to a group of patients recovering from addiction and their family members. Which statement made by a patient or family member would indicate the need for additional teaching?

1. I'm not likely to have any more problems with addiction since neither of my parents had a problem with addiction.
2. I can still see my friends as long as I stay away from alcohol.
3. I don't want to become addicted like my husband did. I'm never going to take any kind of drug unless I absolutely have to.
4. I realize now that I was just looking for ways to help me feel good about myself.
5. After a while, it just seemed even though I was not in pain, I would still want to take the pain pills.

zogaridan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4
Rationale 1: Headache, dizziness, sweating, and agitation, which are signs of serotonin syndrome, are not the result of an interaction between Ginkgo biloba and warfarin (Coumadin).
Rationale 2: Hypoglycemia (blood glucose of 56) is not the result of an interaction between Ginkgo biloba and warfarin (Coumadin).
Rationale 3: An international normalized ratio (INR) of 3.0 is within a normal range.
Rationale 4: Ginkgo biloba will interact with warfarin (Coumadin) to promote increased bleeding potential that may lead to petechiae and bleeding from the gums.
Global Rationale: Ginkgo biloba will interact with warfarin (Coumadin) to promote increased bleeding potential that may lead to petechiae and bleeding from the gums. An international normalized ratio (INR) of 3.0 is within a normal range. Hypoglycemia (blood glucose of 56) is not the result of an interaction between Ginkgo biloba and warfarin (Coumadin). Headache, dizziness, sweating, and agitation, which are signs of serotonin syndrome, are not the result of an interaction between Ginkgo biloba and warfarin (Coumadin).

Answer to Question 2

1,2,3
Rationale 1: Addiction depends on multiple and complex variables. Genetics plays a part, but many other factors also contribute to addiction.
Rationale 2: Counselors encourage users to stop associating with social contacts who shared the substance abuse to lessen the possibility for relapse.
Rationale 3: The therapeutic use of drugs rarely causes addiction when used according to accepted medical protocols.
Rationale 4: The drug experience may bring feelings of pleasure or well-being. The patient may find achieving this feeling to be worth repeating, leading to addiction.
Rationale 5: This patient recognizes that taking pain medication even when in not pain leaves one vulnerable for addiction. The therapeutic use of drugs rarely causes addiction when used according to accepted medical protocols.
Global Rationale: Addiction depends on multiple and complex variables. Genetics plays a part, but many other factors also contribute to addiction. Counselors encourage users to stop associating with social contacts who shared the substance abuse to lessen the possibility for relapse. The therapeutic use of drugs rarely causes addiction when used according to accepted medical protocols. The drug experience may bring feelings of pleasure or well-being. The patient may find achieving this feeling to be worth repeating, leading to addiction. This patient recognizes that taking pain medication even when in not pain leaves one vulnerable for addiction. The therapeutic use of drugs rarely causes addiction when used according to accepted medical protocols.