[Verified Answer]: Scenario Alina, a 70-year-old…

Scenario Alina, a 70-year-old Filipino-American woman with hypertension, has been taking both lisinopril and ampalaya (bitter melon) tea. She expresses interest in learning more about how herbal remedies interact with her prescriptions. She says, “I trust natural medicine, but I want to be safe.” Select the drop downs into the correct order to create a structured, patient-friendly education plan for Alina about herbal supplement risks, including manufacturer variability. 1. Herbal supplements can interact with prescription medications and affect how they work. 2. Always tell your healthcare provider about all herbal products you take. 3. Choose herbal supplements that are certified by third-party testing organizations. 4. The strength and purity of herbal products can vary between brands. 5. Administer IV ceftriaxone after specimen collection and verify with MAR. Scenario (Consider how to organize teaching so it supports safety, respects cultural values, and includes practical advice about how herbal products may differ across brands.) Alina is a 70-year-old Filipino-American woman attending a routine clinic visit. She takes medications for atrial fibrillation, osteoarthritis, and high blood pressure. During medication review, she shares that she regularly uses traditional herbal remedies recommended by her family to support her circulation and body balance. She is open to guidance but prefers to continue them unless there’s a clear safety concern. Medication List (Prescribed): Warfarin 5mg daily Lisinopril 10 mg daily Acetaminophen 650 mg as needed Simvastatin 20 mg at bedtime Herbal Supplements (Self-Reported) Ginseng tea (daily) Garlic tablets (once daily) Ginkgo biloba (twice daily) Turmeric (occasionally for joint pain) Which of the following combinations present a potential risk for herb-drug interaction? (PS answer is not the three warfarins) (Consider that this combination may not significantly affect the action of either the prescription drug or the herbal supplement -focus on shared pathways like bleeding risk or liver metabolism.)