Author Question: A client asks the nurse about using the herb ginkgo to improve his memory and thinking. Which of the ... (Read 32 times)

Zulu123 · **on:** Jul 23, 2018

A client asks the nurse about using the herb ginkgo to improve his memory and thinking. Which of the following would the nurse need to integrate into the response about this herb? Select all that apply.

A) There is scientific proof that this herb is effective.
B) The effects may take at a minimum 4 weeks to occur.
C) Mild GI discomfort and headache may occur with the herb.
D) The herb needs to be taken at least four times a day to be effective.
E) The herb if taken in large doses rarely leads to problems.

Question 2

A client is receiving donepezil. When reviewing the client's medication history, the nurse determines that the client is at increased risk for GI bleeding if the client is also taking which drug? Select all that apply.

A) Naproxen (Naprosyn)
B) Oxycodone (OxyContin)
C) Acetaminophen (Tylenol)
D) Ibuprofen (Motrin)
E) Meperidine (Demerol)

Bison · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: B, C
Feedback:
Conflicting research both supports and disputes ginkgo's ability to enhance memory. Medical studies in both the United States and England have not demonstrated increases in mental function. Despite this research, the brain herb is still taken by healthy adults hoping to retain their current memory and cognitive function. The recommended dose is 40 mg standardized extract ginkgo three times daily. The effects of ginkgo may not be evident until after 4 to 24 weeks of treatment. The most common adverse reactions include mild GI discomfort, headache, and rash. Excessively large doses have been reported to cause diarrhea, nausea, vomiting, and restlessness.

Answer to Question 2

Ans: A, D
Feedback:
Use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen or ibuprofen, in combination with donepezil place the client at an increased risk for GI bleeding. Oxycodone, acetaminophen, and meperidine do not increase the client's risk.