A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)
Advise the client to avoid prolonged immobility and participate in exercise activities while on warfarin.
Safe and effective warfarin therapy requires rigid adherence to the dosing schedule.
Therapy will be evaluated by monitoring PT/INR frequently at first, then every 2-4 weeks after that.
The client should be encouraged to use non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief while on warfarin.
Instruct the client to avoid foods high in Vitamin K while on warfarin.
Correct Answer : B,C,E
a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.
b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.
c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.
d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.
e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) A digoxin level of 1.2 ng/mL is within the therapeutic range, and holding the medication based solely on the level may not be necessary.
b) Seeing yellow-green halos is a symptom of digoxin toxicity, and holding the medication is appropriate to prevent further adverse effects.
c) Edema alone may not be a contraindication for administering digoxin; the nurse would assess other factors such as heart rate and rhythm.
d) Pacing and thirst are not specific signs of digoxin toxicity, and the nurse would need to assess other symptoms and factors before deciding to hold the medication.
Correct Answer is C
Explanation
a) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.
b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.
c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.
d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.
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