Difficulty: Medium
Average Score: 66%
Simulated
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?
Correct answer
A
Rationale
The correct answer is A: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. Warfarin is an anticoagulant that works by inhibiting blood clot formation. Combining it with Ginkgo biloba, which also has anticoagulant properties, can lead to excessive bleeding. Coenzyme Q10 (B), valerian (C), and probiotics (D) do not have significant interactions with warfarin. Therefore, Ginkgo biloba is contraindicated for concurrent use with warfarin due to the increased risk of bleeding.