Nokea
At a yearly physical examination, a client asks the nurse if it would be okay to take ginger to aid with digestion. Before telling the client it is okay to take ginger, which medical conditions should the nurse make sure the client does not have?
- A. Hypertension
- B. Kidney stones
- C. Vitamin B12 deficiency
- D. Gallstones
- E. Tayer disease
Correct Answer: A,D
Rationale: Ginger should be used cautiously in clients with hypertension or gallstones and during pregnancy and lactation.
You may also like to solve these questions
A nurse is caring for a client brought to the health care facility for a drug overdose. In which of the following cases can the client be administered an emetic?
- A. Client's mental status is intact.
- B. Client has an existing condition of severe hypertension.
- C. Client has a medical history of convulsions.
- D. Client has an existing condition of hemorrhagic diathesis.
Correct Answer: A
Rationale: The client can be administered an emetic only if the client does not have an altered mental status or is not comatose. A client who is comatose has an increased risk of aspiration of stomach contents. Clients with an existing condition of severe hypertension, a medical history of convulsions, or an existing condition of hemorrhagic diathesis should not be given an emetic as these conditions may be exacerbated by vomiting.
A nurse is caring for a client who is prescribed omeprazole for a duodenal ulcer. The client is also taking benzodiazepines for the management of a seizure disorder. The nurse would assess the client for which of the following?
- A. Decreased absorption of the proton pump inhibitor
- B. Risk for toxic level of benzodiazepines
- C. Increased risk of respiratory depression
- D. Increased risk of bleeding
Correct Answer: B
Rationale: When the proton pump inhibitor is administered with benzodiazepines, there will be a risk for a toxic level of benzodiazepines. When the client is administered sucralfate with the proton pump inhibitor, there will be a decrease in absorption of the proton pump inhibitor. When the client is administered an antacid with opioid analgesics, there will be an increased risk of respiratory depression. There will be an increased risk of bleeding when the client is taking oral anticoagulants with the proton pump inhibitor.
A client is taking ginger medicinally for motion sickness. The nurse would urge the client to use caution if the client has which medical condition?
- A. Gallstones
- B. Blood dyscrasia
- C. Parkinson's disease
- D. Severe liver disease
Correct Answer: A
Rationale: Ginger should be used with caution in clients with hypertension or gallstones and during pregnancy or lactation. Antiemetic prochlorperazine is contraindicated in clients with blood dyscrasia, Parkinson's disease, and severe liver disease.
After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students identify which of the following as a gastrointestinal stimulant?
- A. Ranitidine (Zantac)
- B. Misoprostol (Cytotec)
- C. Omeprazole (Prilosec)
- D. Metoclopramide (Reglan)
Correct Answer: D
Rationale: Metoclopramide (Reglan) is classified as a gastrointestinal stimulant. Ranitidine is a histamine-2 receptor antagonist. Omeprazole is a proton pump inhibitor. Misoprostol is a miscellaneous acid reducer.
A nurse educating a client on the antacid calcium carbonate (Mylanta) should warn the client of which of the following adverse reactions?
- A. Rebound hyperacidity
- B. Anorexia
- C. Headache
- D. Dehydration
- E. Confusion
Correct Answer: A,C,E
Rationale: Adverse reactions of calcium carbonate (Mylanta) include rebound hyperacidity, metabolic alkalosis, hypercalcemia, vomiting, confusion, headache, renal calculi, and neurologic impairment.