While obtaining information about the clients current medication use the nurse learns that the client takes ginkgo to improve mental alertness. The nurse should tell the client to:

Report signs of bruising or bleeding to the doctor.Avoid sun exposure while using the herbal supplement.Purchase only those brands with FDA approval.Increase daily intake of vitamin E.

Explanation.

Ginkgo interacts with many medications to increase the risk of bleeding; therefore bruising or bleeding should be reported to the doctor. Photosensitivity is not a side effect of ginkgo; therefore answer B is incorrect. Answer C is incorrect because the FDA does not regulate herbals and natural products. The client does not need to take additional vitamin E so answer D is incorrect.