Author Question: A client is taking warfarin (Coumadin) after experiencing a stroke. Which herbs must the nurse ... (Read 35 times)

go.lag

  • Hero Member
  • *****
  • Posts: 667
A client is taking warfarin (Coumadin) after experiencing a stroke. Which herbs must the nurse caution the client to avoid?
 
  1. Green tea
  2. St. John's wort
  3. Soy
  4. Feverfew
  5. Ginger

Question 2

When possible, drug therapy is postponed until after pregnancy and lactation. Which acute and chronic conditions must be managed during pregnancy?
 
  1. Epilepsy.
  2. Serious cystic acne.
  3. Sexually transmitted diseases.
  4. Gestational diabetes.
  5. Hypertension.



xMRAZ

  • Sr. Member
  • ****
  • Posts: 363
Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Green tea can decrease the anticoagulant effects of warfarin, increasing the risk for thromboembolic events.
Rationale 2: St. John's wort can decrease the anticoagulant effects of warfarin, increasing the risk for thrombolytic events.
Rationale 3: Soy can decrease the anticoagulant effects of warfarin, increasing the risk for thrombolytic events.
Rationale 4: Feverfew may interact with warfarin to increase the risk of bleeding, not thromboembolic events.
Rationale 5: Ginger may interact with warfarin to increase the risk of bleeding, not thromboembolic events.
Global Rationale: Green tea, St. John's wort, and soy can decrease the anticoagulant effects of warfarin, increasing the risk for thromboembolic events. Feverfew and ginger may interact with warfarin to increase the risk of bleeding, not thromboembolic events.

Answer to Question 2

Correct Answer: 1,3,4,5
Rationale 1: Epilepsy is a preexisting disease. It would not be wise to discontinue therapy during pregnancy and lactation.
Rationale 2: Cystic acne may be treated with isotretinoin (Accutane). Isotretinoin is a Class X drug and can cause fetal brain damage. Other antibiotics such as tetracycline are Class D and should not be used in pregnancy.
Rationale 3: Sexually transmitted diseases can harm the fetus.
Rationale 4: Gestational diabetes is a complication related to pregnancy that must be treated for the safety of both the mother and growing fetus.
Rationale 5: If hypertension is present prior to pregnancy, it would be unwise to discontinue therapy during pregnancy and lactation.
Global Rationale: Epilepsy is a preexisting disease. It would not be wise to discontinue therapy during pregnancy and lactation. Sexually transmitted diseases can harm the fetus; therefore, they must be treated during pregnancy. Gestational diabetes is a complication related to pregnancy that must be treated for the safety of both the mother and growing fetus. If hypertension is present prior to pregnancy, it would be unwise to discontinue therapy during pregnancy and lactation. Cystic acne may be treated with isotretinoin (Accutane). Isotretinoin is a Class X drug and can cause fetal brain damage. Other antibiotics such as tetracycline are Class D and should not be used in pregnancy.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

xMRAZ

  • Sr. Member
  • ****
  • Posts: 363

 

Did you know?

Carbamazepine can interfere with the results of home pregnancy tests. If you are taking carbamazepine, do not try to test for pregnancy at home.

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

For a complete list of videos, visit our video library